Abstract: A cannula sealing apparatus includes a housing having a central axially facing aperture. A surgical instrument of 10.5 mm may seal with that aperture. Alternatively, a sealing member having an aperture that will seal with a 12 mm surgical instrument can be swung up to be aligned with the aperture. If a 10.5 mm instrument is required then a seal member can be swung up to have its seal aperture located over the central aperture. Each seal member is pivotal about a common axis.

Abstract: An access port for enabling passage of a conduit through a partition wall, said port comprising three portions, a sleeve portion surrounding an aperture for receiving a conduit there through, a flange portion for attachment to the partition wall, said flange portion encircles the sleeve portion and has a greater diameter than the sleeve portion, and a membrane portion connecting the flange portion and the sleeve portion. The port may be suitable for, in a leak-proof manner, passing a catheter or drain tube through the wall of a medical device such as a wound care device or a drainage bag.

Abstract: A partially-implantable pneumostoma management device maintains the patency of a pneumostoma while controlling the flow of material through the pneumostoma. A tube of the pneumostoma management device is placed through the chest wall into the lung. The tube comprises a plurality of holes in the distal end to allow the entry of gases and non-gaseous discharge from the lung. A contact surface prevents over-insertion of the tube while releasably securing the device to the chest of the patient. The contact surface has features to reduce irritation of the skin of the chest. The pneumostoma management device may provide a pharmaceutically active substance selected to maintain the patency of the pneumostoma.

Abstract: A one-piece connector of plastic is provided for removing a housing and needle of a Huber needle assembly from a patient. The connector has a rectangular frame that can be positioned about a gripping surface on the housing of the needle assembly and a pair of wings that pivot upwardly to contact each other to provide a gripping surface for a user to pull the connector and housing of the needle assembly from the patient.

Abstract: A blood collection assembly includes a needle cannula, a hub mounted on the needle cannula, and a spring biased pivoting shield pivotably mounted to the hub and moveable about a pivot axis between a retracted position and a shielded position encompassing a distal end of the needle cannula. A needle holder is mated at a first end with the hub, and is adapted for receiving a blood collection container such as an evacuated tube through the opposing end. A retaining member is attached to the pivoting shield and is releasably engageable with the hub to maintain the pivoting shield in the retracted position against the spring bias. Insertion of a blood collection tube into the needle holder causes the retaining member to release from engagement with the hub, thereby causing the pivoting shield to move toward the shielded position due to the spring bias.

Abstract: A disposable set (5) for establishing a fluid connection between a fluid dispensing unit (17) and a dosing device adapted to dispense a fluid into a patient's vein. The disposable set comprises a length of tubing (15) having a first (1) and a second (10) tubing part. The first tubing part (1) having a one-way valve (3) which permits a fluid flow from the dispensing unit (17) towards the dosing device and to prevent a backward fluid flow from the dosing device towards the dispensing unit. The first and second tubing part are in fluid connection with each other by means of a releasable connection device (11, 12), which is adapted to permit a back flow from a patient in a released position of the releasable connection device and to prevent a back flow from the patient in a closed position.

Abstract: The syringe is a prefillable or prefilled syringe having a syringe cylinder which is delimited to one side by a plunger and which to the other side opens into a syringe connection having a free end closed by a membrane. The syringe cylinder, the syringe connection and the closing membrane are formed as one piece as a plastic injection molded part.

Abstract: A cerebrospinal fluid (“CSF”) collection tube includes a bottom end portion and a tubular sidewall portion. The tubular sidewall portion has a first end and a second end, the first end being sealed to the bottom end portion and the second end defining an open end portion of the CSF collection tube. The CSF collection tube further includes a filament element that is attached to an interior surface of the tubular sidewall portion and projects through the open end portion of the CSF collection tube. The CSF collection tube may further include a removeable cap.

Abstract: Caps can be used to cover and disinfect a male protrusion portion of a medical connector. Some caps can create a seal with the male protrusion to prevent antiseptic from entering a lumen the protrusion. A biasing element can aid in creating or maintaining the seal.

Abstract: A method for delivering medicament such as for ameliorating pain in a patient includes introducing an injector through a nasal passage of the patient into a region substantially medial and/or posterior and/or inferior to a sphenopalatine ganglion (SPG) of the patient; and delivering a medicament from the injector superiorly and/or laterally and/or anteriorly towards the SPG. A device for delivering a medicament to a patient in need thereof includes (a) an injector containing a first end configured to remain outside a nasal passage of the patient and a second end configured for entry into the nasal passage of the patient; and (b) an introducer configured for engagement with a nostril of the patient and containing a passageway configured for slidably receiving the injector. The injector is moveable between a storage position preceding the engagement and an engaging position pursuant to the engagement.

Abstract: An irrigation system includes a control unit and a pump integrated with the control unit. The control unit includes an adjustment knob attached to a major surface of the control unit, a first conduit extending from a side of the control unit to a reservoir that is configured to contain a volume of irrigation liquid, and a second conduit extending from the side of the control unit to an anal probe that is inflatable for fixation of the anal probe within a user. The adjustment knob has a first setting that is selectable to inflate a cuff of the anal probe and a second setting that is selectable to allow the pump to pump gas into the reservoir and thereby transfer the irrigation liquid from the reservoir through the inflated anal probe.

Abstract: A visually coordinated absorbent product includes a article component having a body side liner, a garment side outer cover and an absorbent core disposed between the body side liner and the garment side outer cover. The article component has at least a first and second visual characteristic, wherein the first visual characteristic is different than the second visual characteristic. The article component is disposed in a packaging component having at least the first and second visual characteristics. In one embodiment, the packaging component is an individual pouch sized and configured to hold a single, individual article component. In various embodiments, the visual characteristics can include color, embossment, printing, and/or side sealing.

Abstract: A personal care article (20) has a longitudinal-direction (22), a lateral cross-direction (24), a first end-section (72), a second end-section (72a), and an intermediate-section (76) interposed between the first end-section (72) and the second end-section (72a). At least a portion of the first end-section has been folded along or otherwise includes a first end-fold-region (64) which is substantially convex along a backsheet-side of the article. At least a portion of the second end-section has been folded along or otherwise includes a second end-fold-region (66) which is substantially convex along the backsheet-side of the article. In other aspects, the article can include a first, lengthwise-fold-region (58) in the first end-section, a second, lengthwise-fold-region (62) in the second end-section, and a third, lengthwise-fold-region (68) in the intermediate section.

Abstract: A disposable diaper is provided with a barrier adapted to prevent body fluid from freely flowing in a back-and-forth direction of the diaper so that such barrier can be reliably held in close contact with the wearer's skin. The barrier stands in the way of body fluid flowing in the back-and-forth direction of the diaper and the barrier is provided in the form of an assembly of nonwoven fabric strips.

Abstract: An absorbent article that has a thin, conformable absorbent core where the core has at least two layers, both of which are substantially free of cellulosic fibers. The absorbent article has a Circular Bend Flexibility of less than about 15 N and an acquisition rate on the third gush of less than about 170 seconds and/or on the fourth gush of less than about 190 seconds.

Abstract: An absorbent article comprising a stretchable fastening member is disclosed. The absorbent article comprises a chassis and a stretchable fastening member. The chassis extends longitudinally and laterally and comprises a liquid pervious topsheet, a liquid impervious backsheet and an absorbent core disposed therebetween. The stretchable fastening member comprises a fixed portion permanently joined to the chassis, a distal portion provided with a fastening material and a stretchable panel positioned between the fixed portion and the distal portion. The stretchable fastening member is joined to the chassis such that the distal portion is positioned laterally outwardly from the fixed portion in the flat-out configuration of the stretchable fastening member. The stretchable panel of the stretchable fastening member comprises a first stretchable zone and a second stretchable zone disposed in the lateral direction.

Abstract: A stretchable laminate, a process of making a stretchable laminate and a disposable absorbent article that includes a stretchable laminate are disclosed. The stretchable laminate includes a nonwoven web and a web of elastomeric material. The nonwoven web includes two layers of spunbond multi-component fibers and one layer of meltblown fibers. The multi-component fibers include a first polymer and a second polymer having different melt temperatures. Thermo-bonds are formed at least partially through the nonwoven web. Some of the thermo-bonds can be elongated in the cross-machine direction of the nonwoven web.

Abstract: A communicating member for a medical container contains a plate member 4 having a first opening 5 and a second opening 6, a first connection port 15 including the first opening 5, a plug 9 that obturates the first opening 5 and a first approximately cylindrical member 19 that is in communication with the first opening 5, a second connection port 16 including the second opening 6 and a barrier member 13 that obturates the second opening 6, and a continuous wall 17 disposed on the plate member 4 on the first approximately cylindrical member 19 side and disposed upright on the plate member 4 such that the continuous wall 17 encloses the first opening 5 and the second opening 6 when the plate member is viewed from above; and the first approximately cylindrical member 19 is provided with a first communication part 20 that has an opening on the second opening 6 side.

Abstract: The present invention provides a one-piece bottle containing enteral feeding material and having a top end with a threaded section and a bottom end comprising a funneled connector port; and a threaded cap dimensioned to mate with the threaded section of the one-piece bottle; wherein the funneled connector port connects to an enteral feeding assembly; wherein the threaded cap provides a leak proof seal when tightened on the threaded section of the one-piece bottle, and allows venting of the bottle when loosened.

Abstract: An improved propellant pillow and method for filling a propellant chamber of an implantable pump with propellant through the use of such an improved propellant pillow are disclosed. The propellant pillow includes an improved design that prevents the damage of such during evacuating and filling procedures.

Abstract: A process for detoxifying the blood of a patient in need thereof involves: collecting albumin from human plasma and/or plasma fractions; diafiltration of a mixture containing the collected albumin; stabilizing the resulting diafiltered albumin mixture with sodium chloride and an amino acid in the absence of any added fatty acid; pasteurizing the stabilized albumin mixture; diafiltering the pasteurized mixture to remove, among other things, stabilizers; and detoxifying the blood of the patient by administering the resulting albumin to the patient. In one embodiment, the amino acid stabilizing agent is acetyl tryptophan. The resulting albumin has at least about 80% albumin binding capacity relative to natural plasma albumin, and is storage stable for about 30 months at 30° C.

Abstract: Disclosed is an access catheter, having a distal segment which is movable from a reduced outside diameter for positioning at a target site, and an enlarged outside diameter to create an enlarged internal working lumen. In one application, the catheter is configured for use as an intracranial aspiration catheter. Methods are also disclosed.

Abstract: A long catheter can be inserted into a patient while eliminating the need for a sterile field by incorporating the long catheter into an infusion tubing and carrying it in with the infusion. The long catheter has a structure that prevents it from leaving the infusion tubing when fully extended and therefore becomes a connector for fluids to transfer down the long catheter by infusion through the infusion tubing. Use of an adjustable seat connector allows the long catheter to be stopped at varying points during insertion and even to allow the long catheter to be reversed by pulling suction on the infusion tubing and retracting the long catheter back into the infusion tubing. The long catheter also remains within the sterile confines of the infusion tubing and therefore is prevented from becoming contaminated.

Abstract: A syringe assembly including: (1) a syringe barrel defining a chamber; (2) a plunger mounted in the chamber and moveable with respect to the barrel; and (3) a cap assembly containing a cap and an absorbent material is removably attached to the plunger.

Abstract: A method and device are herein described to treat a target region of tissue, using at least one energy delivery device coupled to a power source and positioned in a treatment position so as to irreversibly electroporate tissue to ablate a target region, and introduce regenerative materials into a treated region.

Abstract: The invention generally relates to an intravascular catheter that includes a proximal hub and a distal elongated tubular member. In one embodiment, the hub is designed to mitigate the introduction of air into a patient's vasculature during the delivery of a second device through the catheter into the patient's body.

Abstract: A catheter assembly includes catheter having proximal and distal ends and at least one lumen extending between the ends. At least one end of the catheter is formed from a material that can be trimmed to achieve a selected length for the catheter. A tubular connector is telescoped over the catheter and a hub is joined to the tubular connector. Proximal portions of the hub are configured for connection to a medical apparatus. A cuff is mounted around the tubular connector or the catheter. The cuff is formed from a material that will permit or promote the growth of scar tissue for anchoring the catheter device at least on a semi-permanent basis in a patient.

Abstract: A minimally invasive tracheal fluid removal device and corresponding method of use for removing accumulated subglottic secretions in an intubated patient's endotracheal tube. The device may be configured as a dual-track or single-tube suction guidance system. This device presents a significant improvement over the art as it eliminates the need to reintubate the patient each time the suction mechanism is removed to be cleaned.

Abstract: Provided is a suction catheter including: a catheter main body made of a flexible lengthy body having a lumen inside; a leading-end case portion positioned at a leading-end portion of the catheter main body and including an opening for retrieving an object; and object cutting means partially exposed through the opening and movable in the axial direction within the leading-end case portion. The object cutting means includes a cutting portion exposed through the opening portion, and a power receiving portion driving the cutting portion when receiving power from outside. A leading-end side of the suction catheter is inserted into a blood vessel while a base-end portion of the suction catheter is connected to a suction apparatus. An object sticking to the internal wall of the blood vessel is cut off by operating the object cutting means in the opening of the leading-end case portion while the lumen is vacuumed. The cut-off object is immediately sucked in and retrieved.

Abstract: Embodiments of an implantable electrolytic pump include a first expandable diaphragm and a second flexible diaphragm, and first and second chambers each for containing a fluid, wherein the first expandable diaphragm separates the first and second chambers and provides a fluid barrier therebetween, and the second chamber is formed between the first expandable diaphragm and the second flexible diaphragms. The pump may further include electrolysis electrodes within the first chamber for causing generation of a gas therein and to thereby expand the expandable diaphragm so that fluid is forced from the second chamber into a cannula.

Abstract: Embodiments of an implantable electrolytic pump include an electrolysis chamber, a drug chamber and an osmosis chamber, the osmosis chamber having a first portion in contact with the drug chamber and a second portion exposed to facilitate contact with a surrounding fluid. The pump further includes a cannula for conducting liquid from the drug chamber and electrolysis electrodes within the electrolysis chamber for causing generation of a gas therein, the electrolysis and drug chambers being in contact such that gas electrolysis within electrolysis chamber forces fluid from the drug chamber into the cannula, contact between the drug chamber and the osmosis chamber permitting fluid admitted into the osmotic chamber from the surrounding fluid to offset volume loss from the drug chamber and prevent buildup of vacuum pressure thereon.

Abstract: A robotic surgical system includes a master manipulator, slave robotic units having a surgical instrument for performing a Minimal Invasive Surgery (MIS), and a control system for electrically associating the master manipulator with the slave robotic units. The slave robotic unit includes the driving mechanisms which are more compact than those of the conventional MIS system. In use, the existing surgical instruments used in the conventional MIS procedure can be applied to the slave robotic unit. Moreover, by using the pivotal mechanism of the driving mechanisms, a pivot point of the surgical instrument is allowed to be shifted with respect to an incision of a patient. So, the patient's tissues surrounding the surgical instrument are not excessively affected by the surgical instrument during the procedure.

Abstract: A shaft rotating device for rotating a shaft of a medical instrument about its longitudinal axis relative to a handle of the medical instrument comprises an operating element for rotating the shaft. The operating element is arranged at a proximal portion of the shaft and it is in driving connection with the shaft such that the shaft is rotatable relative to the handle against frictional forces. The shaft rotating device further comprises a frictional element with a surface. The surface of the frictional element is in frictional contact with the surface of a counterpart for keeping the shaft and the handle rotationally stationary with respect to each other and movable against the frictional forces. The operating element and the frictional element are in operational connection with respect to one another such that a torque applied to the operating element decreases the frictional forces.

Abstract: A method of photoaltering a material using a pulsed laser beam includes selecting a first pulse energy and a first focal point separation based on a relationship of pulse energy and focal point separation combinations enabling layer separation of the material by photoalteration, and scanning the pulsed laser beam along a scan region at the first pulse energy and the first focal point separation. The relationship has a slope and has a distinct change in the slope. The distinct change in the slope is associated with a second pulse energy of the relationships and the first pulse energy is equal to or less than the second pulse energy.

Abstract: The present invention provides devices and methods for the treatment of atrial fibrillation. In one embodiment a deflectable sheath catheter includes an elongate catheter body having proximal and distal ends, the distal end having a distal tip region that includes a plurality of flexible segments with varying degrees of stiffness. A handle portion can be located at the proximal end of the catheter body to provide a steering mechanism that causes the distal tip region to deflect according to a compound curve.

Abstract: An electrosurgical return electrode is disclosed. The return electrode includes a first and second flexible conductive material layers and a material layer disposed between the first and second conductive material layers. The material layer is transitionable between a solid state and a non-solid state, the material layer is also configured to melt upon an increase in temperature beyond a predetermined threshold, thereby increasing conductivity between the first and second conductive material layer.

Abstract: A medical device system and method provide an RF electrosurgical generator coupled to an electrosurgical electrode via a patient box disposed in close proximity to the patient. An RF signal is delivered from the generator to the patient box where signal power is increased and the RF signal delivered to the electrosurgical electrode. The patient box is coupled to the electrosurgical electrode by a short cable capable of carrying an HV, high frequency 5 MHz signal without leakage. An electrical characteristic associated with the electrosurgical electrode is monitored and a desired RF power output and duty cycle maintained by adjusting DC input voltage applied to an RF amplifier, responsive to the monitoring. The system determines when the electrosurgical cutting electrode has started cutting and switches from a start mode to a run mode having a different RF duty cycle and a reduced RF power output controlled by a servo system.

Abstract: An electrosurgical system is disclosed. The electrosurgical system includes a multiple-secondary transformer configured for sensing voltage. The multiple-secondary transformer includes a primary winding coupled to an active terminal and a return terminal of the electrosurgical system and a plurality of secondary windings. Each of the secondary windings is configured to transform the radio frequency voltage into a sensed voltage. Each of the secondary windings includes an output coupled to a sensor circuit and configured to transmit the sensed voltage to the sensor circuit.

Abstract: A radio-frequency thermal balloon catheter includes a catheter tube including an outer tube and an inner tube, a balloon connected to an end part of the outer tube and an end part of the inner tube, and capable of coming into contact with a target diseased part when inflated, a radio-frequency electrode placed in the wall of the balloon or inside the balloon to transmit radio-frequency current, a lead wire electrically connected to the radio-frequency electrode, a temperature sensor capable of measuring temperature inside the balloon, and a swirling current producing means for making a fluid contained in the balloon swirl in a vertical plane in the balloon so as to reduce an upper-lower temperature difference between an upper part and a lower part of the interior of the balloon due to convection of the fluid to naught.

Abstract: This invention describes an energy delivery apparatus for delivering electrical energy at a target location, said energy delivery apparatus being usable in combination with a magnetic field and comprising an electrical conductor having a substantially elongated configuration; an electrode for delivering electrical energy at the target location, with the electrode being electrically coupled to the electrical conductor and having an exposed surface with at least a portion of the exposed surface having one of its principal radii of curvature smaller than 0.35 mm; an insulating dielectric coating along a substantial portion of the length of the electrical conductor, with the dielectric coating having a dielectric constant smaller than about 3; at least one guiding element mounted to the electrical conductor, with at least one of the guiding elements including a magnetically responsive material.

Abstract: Sterilization devices and methods for deploying porous implants within the fallopian tubes are disclosed. The devices include a catheter component including an external electrode sheath containing at least two deployable implants and a positioning member. Sliding the external sheath proximally disposes the implants within the fallopian tubes, while sliding both the positioning member and external electrode sheath distally reloads a second implant into the external electrode sheath. The devices further includes a handle component, which houses a chassis, external electrode sheath carrier, reciprocating shaft, positioning member carrier and first and second engaging members. The reciprocating shaft may be operated by a motor to slide distally and proximally along a long axis. The reciprocating shaft, external electrode sheath and its carrier, upon selective actuation, move together proportionally to deploy and reload the implants to facilitate occlusion of the fallopian tubes and complete sterilization.

Abstract: The present disclosure relates to an apparatus, a system, and a method of electrosurgery to maximize the manipulability of instrumentation inserted at a single access point.

Abstract: The present invention provides an apparatus for, and a method of, accurate positioning of endoscopic instruments. Accurate positioning of the instruments is accomplished through the inclusion of a steering ability within the device. After the endoscopic instrument is properly positioned, the present invention may use rapid exchange technology, soft locks, and mechanical locks to maintain the position of the endoscopic instrument. Rapid exchange technology is used to minimize displacement forces present on the guidewire or catheters. Soft locks and mechanical locks resist movements caused by displacement forces.

Abstract: The invention relates to a bipolar coagulation instrument having a hollow shaft configured as a suction and/or flushing tube and having two electrodes that are electrically insulated with respect to one another and extend beyond the distal end of the shaft. To provide a bipolar coagulation instrument that is both of simple structure and ensures an effective suction/flushing capacity, it is proposed with the invention that the hollow shaft should consist of two electrically conductive tubes coaxially mounted on one another that are electrically insulated with respect to one another and from the outside, so that the tubes constitute the electrodes.

Abstract: A pair of clamps are attached to a damaged bone one each side of a fracture site during a surgical reduction, one clamp on each side of the fracture site, after which the two clamps are slidably engaged to a single pivotal alignment bar, with the clamps then being adjusted to properly align the bone for a surgical attachment using a bone plate which is secured between the respective bone and each respective clamp, holding the bone in place with the bone in proper alignment for the attachment of screws through the plate into the bone, stabilizing the fracture site during the plate attachment procedure.

Abstract: A surgical implant device capable of conforming to a variety of surface topographies facilitates the growth and regeneration of site to which the device is applied. The device employs a plurality of elongate members supporting a column of discrete, rotatable elements in contact with each adjacent element. Anchor plates secure the respective ends of the elongate members, such anchor plates attachable to bone. The implant device provides and ordered array of individually rotatable elements to form a surface that permits bodily fluids to pass therethough.

Abstract: A bone fixation device may include a primary bone plate. The primary bone plate may include an elongate member having a first fastener-receiving passageway therein to receive a first fastener to anchor the primary bone plate to a long bone of a patient, and an enlarged head member extending from the elongate member and having a secondary bone plate-receiving passageway therein. The bone fixation device may also include a secondary bone plate received in the secondary bone plate-receiving passageway and having a second fastener-receiving passageway therein to receive a second fastener to anchor the secondary bone plate to fractured end portions of the long bone of the patient.

Abstract: A system for securing a bone fixation device to a bone comprises a flexible longitudinal element configured to wrap about and stabilize one of a target portion of bone and a bone stabilizing element. The longitudinal element includes a plurality of projections extending distally from a first surface thereof. Each projection includes a proximal abutting surface in combination with a bone fixation element including a channel extending therethrough sized and shaped to slidably receive therein a portion of the longitudinal element distal of the head. The bone fixation element includes a recess shaped to receive the head and prevent the head from being drawn distally through the channel. The bone fixation element or the longitudinal element includes a tab configured to engage one of the proximal abutting surfaces to prevent the projections of the longitudinal element from moving proximally relative to the tab.

Abstract: System, including methods, apparatus, kits, and components, for installation of a bone plate using an insertion tool attached to a bone plate and providing a blade for lifting soft tissue off bone in front of the bone plate as the insertion tool is advanced along a surface of the bone.

Abstract: Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.