Abstract: This disclosure relates to monitoring intracardiac or vascular impedance to determine a change in hemodynamic status by detecting changes in an impedance parameter over cardiac cycles. An example method includes measuring a plurality of impedance values of a path within a patient over time, wherein the path includes at least one blood vessel or cardiac chamber of the patient, and wherein the impedance values vary as a function of blood pressure within the at least one vessel or chamber, determining a plurality of values of an impedance parameter over time based on the measured impedance values, wherein each of the impedance parameter values is determined based on a respective sub-plurality of the impedance values, comparing at least one of the impedance parameter values to at least one prior impedance parameter value, and identifying a change in a cardiovascular parameter related to the blood pressure based on the comparison.

Abstract: A device for detecting and counting coughing events is provided. In one embodiment a sensor for sensing and transducing low frequency and high frequency mechanical vibrations, sends signals to a coincidence detector that determines if high and low signals coincide. In another embodiment, ultrasonic energy is introduced to the trachea and if Doppler shift in frequency is detected, association is made to a coughing event. In another embodiment a change in the impedance of the neck is considered associated with coughing event if correlated over time with a specific mechanical frequency sensed.

Abstract: A test battery method and system (10, 100, 200, 225) for use in assessing auditory function (e.g., the screening or diagnosis of impairments, fitting of hearing aids, etc.) is provided which performs one or more auditory tests including, for example, an acoustic reflectance test. Such an acoustic reflectance test may be a reflectance tympanometry test that includes a feedback system to control (426) static pressure in the ear canal. Such acoustic reflectance tests may be used alone or in combination with one or more other auditory tests. Further, for example, such a battery of tests may include middle-ear muscle reflex tests in combination with one or more other auditory or hearing tests.

Abstract: A biopsy device is disclosed. The biopsy device includes a chamber having a body having a distal end and a proximal end, wherein the proximal end includes an inlet. The biopsy device further includes a vacuum generator for generating negative and positive pressure and at least one first recessed area and at least one second recessed area. The first recessed area extends along an inner wall of the body, proximate the proximal end of the body of the chamber. The first recessed area is configured to release pressure within the chamber. The second recessed area extends along the inner wall of the body, proximate the distal end of the body of the chamber. The second recessed area is configured to release pressure within the chamber.

Abstract: A biopsy device comprises a probe body, a cannula extending distally from the probe body, a cutter moveable relative to the cannula to sever tissue, and a tissue sample holder coupled with the probe body. The tissue sample holder comprises a rotatable member and at least one removable member secured about the exterior of the rotatable member. The at least one removable member defines a plurality of tissue sample compartments. Each tissue sample compartment is configured to receive one or more tissue samples captured by the cutter. In some versions, the at least one removable member comprises a belt and a plurality of vials.

Abstract: A biopsy tissue sampling treatment instrument includes a stem portion having a predetermined length sufficient to puncture living tissue; a puncturing portion formed at a distal end of the stem portion and having a protruding surface portion expanding rearward along a puncture direction of the stem portion; a tissue holding surface provided on a rear side of the protruding surface portion in the puncturing portion and having an area large enough to hold the living tissue; a stopper member provided at a rear end of the stem portion and having an abutting portion capable of abutting against the living tissue punctured by the stem portion; and an operating member provided on the stopper member and configured to hold the stem portion to the living tissue, allowing the stem portion to puncture the living tissue.

Abstract: Embodiments are directed to micro-scale or meso-scale hydraulically or pneumatically actuated devices, methods for forming such devices using multi-layer, multi-material electrochemical fabrication methods and particularly fabricating (i.e. building up) a plurality of components of devices that are moveable relative to one another in pre-assembled configurations wherein special features are designed into the devices (e.g. wide gaps in fabrication positions and narrowed gaps in working regions of component movement, mechanisms that inhibit the return of device components to fabrication positions after being moved into working regions, used of cylindrical interference and/or checkerboard bushings, etching holes in selected locations to allow removal of sacrificial material) to allow such fabrication to occur without violating intra-layer minimum feature size constraints while still obtaining effective gaps between components that are smaller than the minimum features size limits.

Abstract: The present invention relates to methods and devices for formation of microconduits in tissue, particularly using an impedance sensing drill to form microconduits. One embodiment of the invention is an impedance sensing drill comprising a drilling assembly, a control module, mechanically connected to the drilling assembly for controlling the depth of drilling by the drilling assembly; and a sensor, electrically connected to the drilling assembly and control module for detecting a change in an electrical impedance of a material being drilled. Another embodiment is a method of forming a microconduit in a material, which comprises the steps of drilling into the material, monitoring an electrical impedance of the material, and stopping the drilling into the material when a change in the impedance is detected, thereby forming microconduit.

Abstract: The present invention provides a wire guide having a variable stiffness region that may be selectively adjusted to vary the stiffness along a portion of the wire guide. The wire guide generally comprises an outer core member and an inner core member, wherein the inner core member is disposed for longitudinal movement with respect to the outer core member. The outer core member is attached to a proximal end of a coiled member, while the inner core member is attached to the coiled member at an attachment region between proximal and distal ends of the coiled member. In operation, distal advancement of the outer core member with respect to the inner core member causes the coiled member to compress at a location between the proximal end of the coiled member and the attachment region, thereby selectively increasing the stiffness along a portion of the length of the wire guide.

Abstract: The profile of the spinal column and changes in the profile of the spinal column are continuously measured during movement along the entire spinal column in all degrees of freedom of its deformation.

Abstract: A foot pain relief device can advantageously provide multiple angles of inclination, directed pressure against the plantar fascia, as well as ease of manufacturing and assembly. A toe strap, which is fastened around the ankle and the toe(s), ensures that the toes are flexed up. This toe flexing tenses the plantar fascia of the foot. A ball strap can be threaded through a hole in a ball and then operatively coupled with the toe strap. When operatively coupled to the toe strap, the ball strap keeps the ball positioned on the bottom of the foot while allowing ball mobility. The mobility of the ball can provide directed pressure on at least one component of the plantar fascia. Notably, the simultaneous combination of tension to the plantar fascia and directed pressure to the component(s) of the plantar fascia can be particularly effective at relieving foot pain.

Abstract: A portable, manual massage device for massaging appendage muscles, having a wrap with vertical edges and a gap defined between the vertical edges. The vertical edges have at least one anchor and are bound by at least one tension transfer member located between the vertical edges. The tension transfer members are encircled with springs between the vertical edges and enclosed by an external tension-transfer guide and an internal tension-transfer guide. The external tension-transfer guide integrally couples between an actuator and the wrap and the internal tension-transfer guide integrally couples between the anchors.

Abstract: A knee brace divided into anterior and posterior sides by a frontal plane, and having first and second sides divided by a median plane. The knee brace including a frame having proximal and distal portions, a stability strap having first and second ends respectively connected to first and second sides on the proximal frame portion along the posterior side thereof, and a cross strap having a first end connected to the first side of the proximal and a second end connected to the distal frame portions. A bracket assembly having a buckle connects the stability and cross straps to the frame. A sleeve is provided which covers the frame and upon which the bracket assembly rests.

Abstract: In order to improve a surgical DC power tool such that it can be operated, where applicable, under sterile conditions, in particular, using conventional DC voltage supplies, a surgical switch mode power supply for a surgical DC power tool is provided. The switch mode power supply includes a switch mode power supply circuit arrangement, a switch mode power supply housing and a circuit receptacle formed in the housing of the switch mode power supply for accommodating the circuit arrangement of the switch mode power supply. The housing of the switch mode power supply has a switch mode power supply interface which is designed in such a manner that it can be brought into engagement with and/or connected to an interface of the DC power tool provided for a mains-independent energy source. Furthermore, an improved surgical DC power tool having such a power supply is provided.

Abstract: A nasal cleaning apparatus is described that includes a grip portion and a cleaning portion. The grip portion may include a handle and one or more gripping members attached to the handle. Such gripping members may facilitate rotation of the grip portion or other handling of the apparatus. The cleaning portion includes a head that is attached to a nasal cleaning cloth. The nasal cleaning cloth is disposed around and attached to the head, and is formed of a flexible, anti-microbial material. An extension member connects the cleaning portion to the grip portion. The nasal cleaning apparatus may be disposable and/or modular to facilitate multiple uses of all or only portions of the apparatus.

Abstract: A system and device for monitoring pressure in a blood line. In such device, a pressure transducer line branches off a blood line to enable the connection of a pressure transducer. To avoid any contamination of the pressure transducer, a first pressure transducer protector filter is used that divides the pressure transducer line into a blood line section between the blood line and the filter, and a pressure transducer section between the filter and the pressure transducer. A sensor is provided for detecting the presence of liquid in the pressure transducer section of the pressure transducer line so as to provide a system by which an unnoticed failure of the first pressure transducer protector filter in a pressure transducer line is avoided as well as a device that can easily be re-used.

Abstract: A cell sorting apparatus includes an extracorporeal circulation system 10 for sampling blood from a subject and circulating the blood outside a body; a cell measuring section 20 for supplying measurement light to cells contained in the blood to optically measure cell information on the physical quantity relating to the volume of the cell itself or a nucleus of the cell; and a cell separating section 30 for separating cells with reference to the cell information measured. The cell separating section 30 separates cells, based on the cell information measured by the cell measuring section 20 and a sorting condition set for sorting a specific type of cell such as a cancer cell, the cells satisfying the sorting condition, and returns the other cells into the body via the extracorporeal circulation system 10. Thus, a cell sorting apparatus can be realized which is capable of suitably sorting a target cell from the cells in blood.

Abstract: An ultrafiltration device and method for the removal of excess fluid in hypervolemic patients and/or removal of toxins in the blood including for patients suffering from either renal or cardiovascular disease is disclosed. An embodiment of the device includes a housing containing multiple large bore hollow fiber membranes which are connected to the patient's vascular system via a connecting element comprising bifurcated fluid pathway elements to physiologically channel the blood flow either to or from each hollow fiber membrane of the device, a channel to direct the fluid removed by the device to a suitable collection container or the patient's bladder, and controls that control excessive removal of the water from the patient. Devices can be either worn extracorporeally or surgically implanted in order to allow for continuous fluid removal with ambulatory freedom.

Abstract: An implantable medical device is disclosed that includes a valve body and a valve rotor adjustable with respect to the valve body. A tool can be utilized to determine and control a position of the valve rotor with respect to the valve body. The tool can include a valve body position reader, a valve rotor position reader and a valve rotor position controller to determine a valve setting for the device and adjust the valve setting as desired.

Abstract: Clot disruption and dissolution are achieved using a catheter having the ability to infuse a thrombolytic agent, aspirate clot and fluid, and allow passage of a guidewire. Optionally, the catheter may also include a mechanical agitator for further disrupt clot in the presence of the thrombolytic agent. A flow resistor in the catheter provides for infusion and/or aspiration to be concentrated primarily at a clot treatment area in a blood vessel while also providing optional infusion and/or aspiration distal to the treatment area. In some embodiments, infusion, aspiration and guidewire passage occur through a common lumen. The thrombolytic agent, such as tPA, streptokinase, or urokinase, is directly released into the clot at the point where the agitator is engaging the clot. In this way, the thrombolytic activity of the agent is enhanced and the dissolution of the clot is improved.

Abstract: A device for achieving high vacuum stability during phacoemulsification surgery includes a main aspiration line connected to a vacuum source which enables a fluid flow from a phacoemulsification handpiece tip to a drainage reservoir. A first tubing segment is provided in the main aspiration line along with a second tubing segment generally parallel to the first tubing section and a valve disposed in the second tubing segment regulates fluid flow through the second tubing segment in order to limit vacuum surge in the main aspiration line upon clearing of an occlusion in the phacoemulsification handpiece tip.

Abstract: A method for filling needleless injector capsules with liquid drug, whereby dissolved gas within the drug is replaced by a less soluble gas in order to reduce the inclusion of gas bubbles, or to prevent the growth of bubbles during storage and thereby prevent breakage of the capsules.

Abstract: A method for tilling needleless injector capsules with liquid drug, whereby dissolved gas within the drug is replaced by a less soluble gas in order to reduce the inclusion of gas bubbles, or to prevent the growth of bubbles during storage and thereby prevent breakage of the capsules.

Abstract: A co-axial catheter assembly including a first lumen having a first distal end and a first proximal end, and a second lumen having a second distal end and a second proximal end. The second lumen extends co-axially with the first lumen, wherein the second lumen is at least partially disposed within the first lumen and the second distal end extends distally of the first distal end. A catheter hub provides for fluid connections of the inner and outer lumens with respective extension tubes, and includes spacers that maintain the proximal end of the inner lumen concentrically within the proximal end of the outer lumen and the distal end of the inner lumen concentrically within the distal end of the outer lumen, respectively. Methods of manufacturing and of inserting the catheter are also disclosed.

Abstract: The present invention provides a dual lumen catheter shaft having a first dual lumen section and a second dual lumen section with a transition section therebetween. The present invention further provides a method of forming a dual lumen catheter shaft.

Abstract: A drainage catheter including a body, a drainage lumen extending between the body proximal end and the body distal end, the drainage lumen including a distal fluid inflow port and a proximal fluid drain coupling, and an inflation lumen extending between the body proximal end and the body distal end, conveying inflating fluid from a proximal fluid supply element to a distal fluid acceptor balloon, the proximal fluid supply element adjacent the proximal fluid drain coupling. A sleeve may be secured about the proximal fluid supply element and the proximal fluid drain coupling to provide a fluid impervious coating.

Abstract: Devices and systems for providing retroperfusion and autoretroperfusion therapies to a brain. In certain embodiments, the devices and systems disclosed herein comprise a flow unit configured to adjust the flow rate and pressure of the arterial blood used for perfusion of the venous system. Methods for delivering a bridge retroperfusion therapy are also disclosed such that, after the onset of a stroke or other adverse cerebral event, the brain cells' window of viability may be extended and other treatments, including pharmaceutical and neuroprotective therapies, may be more effectively utilized.

Abstract: The invention relates to a medical device for delivering a therapeutic agent to a tissue. The medical device has a layer overlying the exterior surface of the medical device. The layer contains a therapeutic agent and an additive. In certain embodiments, the additive has a hydrophilic part and a drug affinity part, wherein the drug affinity part is at least one of a hydrophobic part, a part that has an affinity to the therapeutic agent by hydrogen bonding, and a part that has an affinity to the therapeutic agent by van der Waals interactions. In embodiments, the additive is water-soluble. In further embodiments, the additive is at least one of a surfactant and a chemical compound, and the chemical compound has a molecular weight of from 80 to 750 or has more than four hydroxyl groups.

Abstract: The present invention provides a gastrostomy or jejunal device for extended insertion into an abdomen of a patient. The device includes a catheter and a coaxial sheath that surrounds the catheter. The sheath includes a plurality of curved or oblique slots through the sheath materials that form a plurality of arms. A rotatable actuation device is provided to twist the sheath along its longitudinal axis which places the arms in compression and causes them to buckle radially outward beyond the circumference of the remainder of the sheath when the actuation device is rotated with respect to the remainder of the device.

Abstract: A seal assembly for use with an access device during a surgical procedure includes a housing having a passageway therethrough dimensioned to permit passage of a surgical instrument and being adapted for mounting to a trocar device, and a seal comprising a gel material and being mounted to the housing across the passageway. The seal includes inner seal portions defining an access channel dimensioned to form a substantial sealing relation with an object therethrough and substantially close in the absence of the surgical instrument. The seal preferably comprises a second material having a hardness greater than a hardness of the gel material. The gel material may be selected from the group consisting of urethane gel, silicone gel.

Abstract: In one embodiment, the assembly is a low profile percutaneous endoscopic gastrostomy (PEG) device and comprises a body, a feeding tube, a cap and an inner sleeve assembly. The body includes a base portion and a sleeve portion, the base portion dimensioned to engage the skin of a patient, the sleeve portion extending upwardly from the base portion. The feeding tube has a distal end adapted to be anchored to the inside of a patient and a proximal end inserted up through the base portion and the sleeve portion. An inner sleeve, sized to engage the inside surface of the feeding tube, is removably inserted through the feeding tube, the inner sleeve having a proximal end to which a tubular fitting is secured. Food and/or medications are dispensed to the patient through the fitting and the inner sleeve and, in this manner, prevent clogging of the feeding tube.

Abstract: A medical article, such as a catheter, is secured to a patient with a support structure and a plurality of attachment/receiving surfaces that permit the catheter to be reoriented in multiple positions relative to the support structure including rotating the catheter about a longitudinal axis. The support structure may be an anchor pad, strap, or other structure. The plurality of attachment/receiving surfaces may be hook and loop type fasteners that are adhered to the catheter body and to the support structure. The placement of the support structure on the patient is not critical as the catheter position is not fixed relative to the support structure.

Abstract: A medical needle shield system is provided that includes a medical needle shield apparatus and a reset device. The reset device resets a safety housing on the medical needle. The reset device has alignment features which guide the safety housing towards reset features. The reset features pass through access features in the safety housing to reset the reset geometry so that the safety housing no longer sheathes a tip of the medical needle.

Abstract: The present invention provides for an injection device including a syringe with a proximal end, a distal end, a needle extending from the distal end, and a plunger inserted into the proximal end. A guard is slidable on the syringe, has a proximal end, a distal end, and is biased from a first position wherein the needle is exposed towards a second position wherein the guard covers the needle. The injection device includes first and second sets of cooperating detents for retaining the guard and syringe in the first and second positions, respectively. A latch member extends proximally from the guard that is engageable by the plunger as the plunger is depressed to release the first set of cooperating detents. Upon release, a spring element biases the guard towards the second position until the second set of cooperating detents engage and secure the guard in the second position.

Abstract: A needle-based medical device including a needle guide and a method for constructing the same are disclosed. The needle-based medical device includes a tube having a first lumen; a needle guide which is dimensioned to be inserted into the lumen of the tube, and a needle. The needle is inserted such that an end is positioned in the needle guide. A glue may also be provided to secure the needle guide to the tube. In one embodiment, the tube may be made of extruded plastic.

Abstract: A pen needle assembly is provided herein for use with a medical injector containing an injector body and a reservoir sealed by a septum encased in the injector body. The pen needle assembly includes a hub and a needle fixed to the hub. The hub is formed to be telescopingly mounted onto a distal end of the injector body using a track that accommodates a guide key. When mounting the hub of the pen needle assembly onto the injector body, a first portion of the track is configured to receive the guide key and to guide the guide key in a straight line across sufficient distance to permit a proximal end of the needle to fully pierce through the septum, without rotation of the needle. A second portion of the track is configured to permit the pen needle assembly to be turned with the proximal end of the needle being located proximally of the septum.

Abstract: A wound treatment system includes a vessel that is sized to receive a human limb. The vessel includes a chamber with an opening leading into the chamber. A removable liner lines the chamber of the vessel and forms a treatment zone. A humidifier in fluid communication with the treatment zone humidifies a solution of water and antibacterial agent. An oxygen source is in fluid communication with the treatment zone. A speaker is coupled to the vessel and emits low frequency sound waves to the chamber. A first array of light emitting diodes that emits ultraviolet light is coupled to the vessel near the opening of the treatment chamber. A second array of light emitting diodes that emits pulsed light into the chamber is coupled to the chamber. The system also includes a control panel.

Abstract: A method for irrigation of a wound, wherein the method involves the use of a reservoir housing containing a wound irrigation solution and a discharge means attached thereto, wherein the discharge means has multiple ports for directing a stream of the solution at a wound at an appropriate pressure.

Abstract: A liquid streaming device for treating a wound includes a body having a lower surface for application to skin region around the wound to be treated and to conform to the contour of the skin region, and an upper surface facing outwardly when the body is applied to the skin region; a recess formed in the lower surface of the body and configured to enclose the wound when the body is applied to the skin region, and to define a chamber closed on one side by the skin region and the wound, and on the opposite side by the body; an inlet in the body on one side of the recess for introducing a treating liquid into an inlet side of the chamber; and an outlet in the body on another side of the recess for outletting the treating liquid from an outlet side of the chamber.

Abstract: A super-absorbent dressing assembly for use with a reduced-pressure wound treatment system includes a breathable, fluid restricted dry layer for placement against a wound, a super-absorbent layer, and a non-breathable layer, and a drape extending over the non-breathable layer. A reduced-pressure interface is available to fluidly couple the super-absorbent layer to a reduced-pressure subsystem. The super-absorbent dressing assembly preferably supplies a compressive force when placed under reduced pressure. A reduced-pressure treatment system uses a super-absorbent bolster to treat wounds, e.g., linear wounds.

Abstract: A flexible unit for collecting and transporting liquid to a collection point or to an area of use, and especially for facilitating management of urinary incontinence is provided which includes a flexible pad adapted to be positioned under an incontinent patient or worn under an undergarment. The pad is provided with an outer liquid permeable polymeric film layer, an outer liquid impermeable polymeric film layer and an intermediate cellular layer made up of a series of individual, spaced, thin wall, liquid impermeable polymeric cells. An aspiration assembly is connected to the pad for removing urine from the interior of the pad, which collects in the spaces between the individual cells. A disposable porous sheet, preferably comprising Dry-Weave® material, is releasably positioned over the outer permeable film layer of the pad. The pad may be sanitized and reused multiple times with only replacement of the Dry-Weave® sheet being required.

Abstract: An absorbent article is disclosed. The article includes a first portion having at least two target strips located on opposite ends of the first portion, at least one visual sizing indicator positioned on the first portion of the article between the at least two target strips, a middle portion contoured inwards such that an hourglass shape is formed, and a second portion having at least two fasteners located on opposite edges of the second portion. The absorbent article is formed of several layers including a moisture-impervious outer layer, an inner layer substantially co-extensive with the outer layer, and a filler interposed between the inner layer and the outer layer.

Abstract: An apparatus for collecting and salvaging blood includes: a first chamber with a below atmosphere internal pressure for continuous collection of blood through an inlet port; a second chamber for receiving blood from the first chamber through a connection channel; a channel valve manually controllable to close the connection channel; and a control for simultaneously controlling the channel valve and the internal pressure of the second chamber between an internal pressure corresponding to the internal pressure of the first chamber and ambient air pressure, wherein the control is arranged to provide an internal pressure corresponding to the internal pressure of the first chamber to the second chamber through a passageway separated from the connection channel for providing blood from the first chamber to the second chamber.

Abstract: A system for mixing or reconstituting a drug contained in a first container with a diluent or fluid contained in a second container. The second container has a port docking assembly for engaging the first container. The first container is rotatable and axially slidable within the port docking assembly. The port docking assembly has an actuator to urge a stopper fluidly sealing the first container into the interior of the first container. The port docking assembly further includes a movable plug constructed to fluidly seal the second container in a first, docked position and to provide access to the interior of the second container in a second, activated position, whereby fluid communication between the first and second containers is provided when the first and second containers are in the second, activated position.

Abstract: A method of treating diseased ethmoid sinuses in a patient with a therapeutic agent includes providing an injection device comprising an elongate member having a proximal end, a distal tip or end, and a lumen extending between the distal tip and the proximal end, the proximal end being operatively coupled to a source of the therapeutic agent. The distal tip of the injection device is inserted at least partially within an interior portion of an ethmoid air cell. The therapeutic agent is then injected into the interior portion of the ethmoid air cell using the injection device, the therapeutic agent being delivered via the lumen in the elongate member.

Abstract: An apparatus and method for curving a catheter after deployment include a catheter having a primary lumen, a secondary lumen, and a resilient fiber contained within the secondary lumen. The resilient fiber and the secondary lumen have corresponding, preformed curve shapes when the catheter is in a straight, unstressed condition. The resilient fiber is slidable within the secondary lumen to create a desired curve shape in the catheter as the curved portion of the resilient fiber slides into an originally straight portion of the secondary lumen. In another embodiment, the preformed curve shape of the resilient fiber is held in a straight condition within a stiff, marker ring segment of the catheter until after the catheter is deployed. Once deployed, the resilient fiber is slid out of the marker ring segment, and the preformed curve shape of the resilient fiber creates a corresponding curve shape in the catheter.

Abstract: A self-sealing male Luer connector attaches to any standard female Luer valve to open a flow channel between the two. The self-sealing male Luer connector includes a rigid housing having a distal end with a rigid male Luer connector and a proximal end at which a proximal seal is formed. The distal end of the housing includes a valve seat. Located within the housing is a resilient biasing member that biases an actuator into contact with the valve seat to prevent fluid flow through the male connector. Upon engagement with a female connector, the actuator is moved in the proximal direction to open the distal valve and then the proximal seal. A partial vacuum is formed within the male connector upon disengagement with the female connector that draws any fluids on the external surface of the distal end of the male Luer connector into the male tip.

Abstract: A fluid delivery device for transdermal delivery of a fluid to a patient. The device comprises an envelope that may be applied to a patient's skin. The envelope comprises at least one diffusion layer coupled to at least one impermeable layer such that at least a chamber is defined therebetween. Other embodiments include internal diffusion layers, and thus possess additional chambers, as well. In one arrangement, an adhesive boundary layer permits the device to be removably secured to a patient and inhibits radial migration of fluid beyond the periphery of the device. In another arrangement, preferably, an anti-microbial layer is provided to inhibit the growth of microorganisms.

Abstract: Drug infusion system capable of delivering a fluid medication to a patient and method for doing same. An implantable drug delivery device is capable of delivering the fluid medication at a programmable rate to the patient under control of an original programming cycle having a plurality of steps in a plurality of time slots beginning at a starting time. The programming cycle specifies the programmable rate for each of the plurality of steps. An external controller is capable of storing a program representative of the original programming cycle in the implantable drug delivery device at a programming time. The drug infusion system adjusts the implantable drug delivery device so that the original programming cycle will begin at a time during the original programming cycle adjusted for the programming time.

Abstract: In one embodiment of the invention, a robotic surgical instrument is provided for the control of flows of one or more fluids into and out of a surgical site. The robotic surgical instrument may include a housing, a flow control system, a hollow tube, and one or more hose fittings. The housing to couple the instrument to a robotic arm. The flow control system mounted in the housing includes one or more controlled valves to control the flow of one or more fluids. The hollow tube has a first end mounted in the housing coupled to the flow control system. A second end of the hollow tube has one or more openings to allow the flow of fluids into and out of the surgical site. The hose fittings have a first end coupled to the flow control system and a second end to couple to hoses.