Abstract: An arteriosclerosis diagnostic device according to various embodiments is a simple device, resistant to an external factor, such as an error resulting from a skin surface, and capable of measuring the degree of hardness of an artery. The arteriosclerosis diagnostic device detects a heart sound and a pulse wave at least one location of a living body, the pulse wave propagating through an artery in relation to the heart sound, converts detected signals thereof into respective frequency signals, specifies the peak frequency of each of the frequency signals, and determines the degree of arteriosclerosis on the basis of the difference between the peak frequency of the heart sound and the peak frequency of the pulse wave. Accordingly, the degree of arteriosclerosis can be determined by comparison between the frequency signals.

Abstract: A rectal thermal monitor for transrectal prostate temperature measurement includes a handle arranged in a proximal end portion of the monitor for gripping by a user, an elongate shaft extending from the handle, and an expandable distal probe portion arranged on a distal end of the shaft. The distal probe portion is arranged at a position opposite the handle portion, and is shaped to facilitate insertion through an anal sphincter and into a rectum of a patient. A cover element, is provided for covering at least a portion of the distal probe portion, and is made from a resilient material. A temperature sensing element is arranged within the distal probe portion, beneath the cover element, and is adapted and configured to sense a temperature of the prostate of the patient through the rectum wall of the patient. Further, and actuator can be provided to actuate the expandable distal probe portion, to increase a diameter thereof.

Abstract: A system for determining the hearing ability of an individual comprises a generator for generating a test stimulus signal, a hearing aid (2) having a digital signal processor for processing said test stimulus signal and converting it in order to output an acoustic stimulus signal, and a first synchronizing means. The system further comprises an electrophysiological instrument (1) having a second synchronizing means, and means (7) for establishing from said individual an evoked response to said acoustic signal. The first synchronizing means and said second synchronizing means exchange a synchronization signal in order to synchronize said evoked response to said acoustic stimulus signal. The invention also provides a hearing aid and a method for carrying out electrophysiological measurement of the hearing ability of an individual.

Abstract: A lancet driver is provided wherein the driver exerts a driving force on a lancet during a lancing cycle and is used on a tissue site. The driver comprises of a drive force generator for advancing the lancet and a processor coupled to the drive force generator capable of changing the direction and magnitude of force exerted on the lancet during the lancing cycle. The driver further includes a human interface on the housing providing at least one output for communicating with the patient.

Abstract: A blood test device using a laser as a puncture member. More specifically, in a blood test device using a laser as a puncture member, the skin can be fixed at a definite position by raising the punctured skin under negative pressure, and thus the skin is brought into close contact with a blood sensor and the laser is focused on the vicinity of the blood sensor face. Thus, it is possible to provide a blood test device of the laser puncture type in which the skin can be surely punctured while giving little pain to a patient.

Abstract: An apparatus for performing medical procedures on an anatomical body includes an extension with an element near its distal end to be extended into the body, and a driver that moves the extension axially into the body, and that causes flexure of the distal end of the extension. The movement and flexure of the extension is driven by the driver from the proximal end of the extension, and an electronic controller directs the operation of the driver.

Abstract: Alternative designs, materials and manufacturing methods for guidewires. Some embodiments pertain to a composite guidewire having proximal and distal section, and a connector adapted and configured for permanently joining the proximal section to the distal section. In some embodiments, at least one of the sections is made of a linear-elastic nickel-titanium alloy. Several alternative guidewire tip designs including coiled safety/shaping structures are also disclosed.

Abstract: A body motion measurement device capable of detecting a body motion balance without installing a pressure sensor is provided. The body motion measurement device includes an acceleration detection unit for detecting a change in acceleration by walking, a calculation unit for detecting a walking balance from the acceleration signal detected by the acceleration detection unit, and a display unit for performing an output based on the detected walking balance. The calculation unit for detecting the walking balance executes step and step of recognizing one step unit of walking from the acceleration signal and acquiring PPodd, PPeven, Todd, and Teven, which are the foot information, and steps of detecting the walking balance based on the foot information.

Abstract: A tissue ablation method for treating atrial fibrillation in a patient comprises locating an ostium of a pulmonary vein and positioning an interventional catheter adjacent the ostium. The interventional catheter has an energy source. Collateral tissue adjacent the ostium is located and tissue around the ostium is ablated with energy from the energy source so as to form a contiguous lesion circumscribing the ostium. The lesion blocks aberrant electrical pathways in the tissue so as to reduce or eliminate the atrial fibrillation. The ablating is modified so as to avoid ablating or otherwise damaging the collateral tissue.

Abstract: A long-term implantable ultrasound therapy system and method is provided that provides directional, focused ultrasound to localized regions of tissue within body joints, such as spinal joints. An ultrasound emitter or transducer is delivered to a location within the body associated with the joint and heats the target region of tissue associated with the joint from the location. Such locations for ultrasound transducer placement may include for example in or around the intervertebral discs, or the bony structures such as vertebral bodies or posterior vertebral elements such as facet joints. Various modes of operation provide for selective, controlled heating at different temperature ranges to provide different intended results in the target tissue, which ranges are significantly effected by pre-stressed tissues such as in-vivo intervertebral discs. In particular, treatments above 70 degrees C., and in particular 75 degrees C.

Abstract: A massage device has a massage head distance adjustment mechanism. In one embodiment, the massage head distance adjustment mechanism includes a first motor, a first worm coaxially connected to the first motor, a first worm wheel meshing with the first worm, a first gear meshing with the first worm wheel, and a pair of second gears having one second gear meshed with the first gear. The pair of second gears meshes with each other. In operation, the first motor drives, in sequence, the first worm, the first worm wheel, the first gear, and the pair of second gears, thereby causing the pair of massage heads to move along a corresponding pair of arc-shaped slots. Accordingly, the distance between the two massage heads is adjusted.

Abstract: An stretch resistant plantar fascia support system is provided. The stretch resistant plantar fascia support system is adhesively applied to the foot of a patient for providing relief from plantar fasciitis. A portion of the stretch resistant plantar fascia support system is adhesively attached to the bottom surface of the foot for reducing stress on the plantar fascia.

Abstract: A shoulder orthosis is provided having an arm support and an optional arm spacer connected to the arm support. The arm support includes an arm retainer and a supportive strapping system. One optional arm spacer includes a pair of individual pillows which are attachably combinable with one another at a first face of the first individual pillow and a face of the second individual pillow to form one combined pillow having a first shape. The individual pillows are alternately attachably combinable with one another at a second face of the first individual pillow and the face of the second individual pillow to form another combined pillow having a second shape different from the first shape.

Abstract: Patient body part traction exerting and control kit apparatus, comprising in combination a motor driven rotary drive means to tension a traction exerting line; a support means carrying rotary drive means and configured to be attached to equipment at an attraction exertion site, to present drive means for traction line operation attached to aid rotary drive means; the support means having a first section attached to the equipment, and a second section carrying rotary drive means for displacement enabling sideward shifting of a traction line to accommodate patient body shifting, while under traction.

Abstract: A wearable ambulatory traction system for a user. The system can include a traction device with a traction head, a traction body, and a centralizer; a wearable fabric garment; and a pouch secured to the fabric garment. The traction device can be insertable into the pouch. A customizable wearable ambulatory traction system for a user that can include a customizable traction device with a shearable traction head and body which can be cut to a custom size by the user.

Abstract: A conduit tube (90) that communicates with an intracardiac blood inflow port (50) and a liquid medicine injection port (72) and allows blood from the intracardiac blood inflow port and a liquid medicine from the liquid medicine injection port to flow into a cardiotomy section (2) is inserted from above downward in the cardiotomy section 2. A blood flow channel (93) for the flow of blood and a liquid medicine flow channel (95) for the flow of a liquid medicine are formed independently of each other in the conduit tube. With respect to the vertical direction, the lower end of a blood conduit tube portion (94) that forms the blood flow channel is located at a lower position than the lower end of a liquid medicine conduit tube portion (96) that forms the liquid medicine flow channel. This prevents the generation of negative pressure in the liquid medicine flow channel due to the flow of blood. It also reduces the resistance to the inflow of a liquid medicine into the cardiotomy section.

Abstract: One disclosed embodiment comprises a method for treating lesions in the carotid artery of a mammalian body. The method comprises transcervical access and blocking of blood flow through the common carotid artery (with or without blocking of blood flow through the external carotid artery), shunting blood from the internal carotid artery and treating the lesion in the carotid artery.

Abstract: Systems, devices, methods, and compositions are described for providing an actively controllable shunt configured to, for example, monitor, treat, or prevent an infection.

Abstract: An ocular implant adapted to reside at least partially in a portion of Schlemm's canal of an eye. In some embodiments the implant has a body extending in a curved volume whose longitudinal axis forms an arc of a circle, and a plurality of open areas and strut areas formed in the body, the open areas extending over more than 50% of a surface defining the curved volume, the strut areas surrounding the open areas, the body having a diameter of between 0.005 inches and 0.04 inches. The invention also provides a method of treating glaucoma including the steps of supporting tissue forming Schlemm's canal in an eye with an implant extending at least partially in the canal along an axial length within the canal; and contacting with the implant less than 50% of the tissue forming the canal along the axial length.

Abstract: A portable system for subatmospheric pressure therapy in connection with healing a surgical wound, including a wound dressing dimensioned for positioning relative to a wound bed of a subject and a subatmospheric pressure mechanism dimensioned to be carried or worn by the subject. The subatmospheric pressure mechanism includes a housing having a control unit adapted to draw a vacuum and a canister associated with the housing. The canister has a collection bag disposed therein, which is in fluid communication with the wound dressing to receive exudates from the wound bed. The collection bag is adapted to expand upon receipt of the fluids and has means to release gas from within the collection bag in connection with operation of the control unit. With this arrangement, the canister is attitude independent, i.e., the canister may be positioned on edge, on its side or on its end etc. while still maintaining operation of the control unit.

Abstract: A device comprising: a gas insufflation device (1), a first duct (2) for supplying gas to a member insertable (3) in a cavity of an individual, wherein the first duct (2) comprises a by-pass (21) for evacuating excess gas towards the exterior. The insertable member (3) has three passages and comprises a first mouth (31) at its rear end for coupling the first duct (2) to a passage (32) having an exit mouth (33), a second mouth (34) for coupling an effluent evacuation duct (5) to a passage (35) having an entrance mouth (36), and a third mouth (37) for connecting inflating means (6) of an expandable ring-shaped element (30) with a passage (38) having an exit mouth (39) to the expandable ring-shaped element (30) disposed before the mouths (33, 36).

Abstract: Irrigation and/or aspiration devices and methods may be configured to aspirate and irrigate alone, sequentially, or concurrently. The devices and methods may provide a base with a removable head, and adapted for partial or complete separation of the irrigation and aspiration functions. The devices and methods can be configured to aspirate and/or irrigate the nasal and sinus cavities. The devices and methods may be manually and/or automatically controlled. The devices and methods may include removable, and/or replaceable, and/or refillable, and easily cleanable reservoirs for aspirant and irrigant. The device head and/or aspirant reservoir may comprise a diagnostic device, i.e., test device and/or container after use of the devices and methods.

Abstract: A method of dispensing fluid includes three processes. A first one of these processes includes pumping fluid into a resilient variable-volume dispensing chamber. The dispensing chamber is in series with a normally present finite fluid impedance and an output. The impedance is sufficient so as to cause expansion of the dispensing chamber as it receives pumped fluid even while some fluid flows through the output. Another one of these processes includes repeatedly measuring a parameter related to volume of the dispensing chamber over time. A third one of these processes includes controlling the pumping of fluid based on repeated measurements of the parameter to produce a desired fluid flow through the output. A corresponding system for dispensing fluid implements these processes.

Abstract: This document discusses, among other things, an apparatus comprising a pump configured to deliver a fluid, a wireless communication port, a controller, and a housing to enclose the apparatus. The controller is configured to communicate with a second device via the communication port using an open standard wireless communication protocol. The housing includes a mechanical coupling to slidably engage the second device which includes a second wireless communication port. Slidably engaging the second device positions the first and second communication ports opposite each other to allow communication via the first and second communication ports when slidably engaged.

Abstract: The long nose manipulatable catheter includes a main lumen, a wire lumen with a push-pull wire therethrough, and a flexible joint region. The catheter section includes a control including a handle and a wire control member engaging the push-pull wire for manipulating the flexible joint region. The push-pull wire may be tapered, having a proximal portion of a first diameter and a smaller diameter distal portion. A coil may be placed around the smaller diameter to prevent buckling of the smaller diameter portion. A strapping coil may also disposed around the outside of the catheter, and an outer covering may be disposed around the strapping coil. An outer covering of a mesh may also be disposed around the distal tip of the catheter.

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 invention relates to a coated medical device for rapid delivery of a therapeutic agent to a tissue in seconds to minutes. The medical device has a layer overlying the exterior surface of the medical device. The layer contains a therapeutic agent, at least one of an oil, a fatty acid, and a lipid, 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, a part that has an affinity to the therapeutic agent by charge, and a part that has an affinity to the therapeutic agent by van der Waals interactions. In embodiments, the additive is at least one of a surfactant and a chemical compound. In further embodiments, the chemical compound is water-soluble.

Abstract: Methods and devices for preventing fluid flow through the relatively short guidewire lumen of a rapid exchange catheter. The guidewire lumen for a rapid exchange catheter is provided with a narrowed or sealed section allowing for passage of a guidewire therethrough while preventing fluid flow while a guidewire is disposed therethrough. The narrowed or sealed section extends for a relatively short length of the guidewire lumen to avoid creating excessive friction between the guidewire and the guidewire lumen. In several embodiments the narrowed or sealed section is placed proximal of the distal end of the guidewire lumen.

Abstract: A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. A sheath pair is placed over the crimped scaffold after crimping to reduce recoil of the crimped polymer scaffold and maintain scaffold-balloon engagement relied on to hold the scaffold to the balloon when the scaffold is being delivered to a target in a body. The sheath pair is removed by a health professional before placing the scaffold within the body.

Abstract: An insertion device, generally used with an infusion set, including a needle being adapted for puncturing at one end and including at the opposite end a hub. The hub includes a handle part and a guard part that are capable of securing the needle through the use of locks. Locking structures are used to secure the insertion device in a position where the needle is covered in a locked position, avoiding unintended contact with the needle.

Abstract: A vascular access device may comprise a thin polymer patch configured to be attached to a wall of a vein. The vascular access device may also include a main body including a first end and a second end. The main body may have an inner surface defining a cavity extending between openings at the first and second ends along an axis. The first end of the main body may be connected to the polymer patch, and the cavity may taper between the second end and the first end. The vascular access device may include a cap connected to the second end of the main body. The vascular access device may also include a fluid sealed within the cavity. When the vascular access device is implanted in a patient and a dialysis needle is received in the cavity, the needle may be guided by the inner surface toward the wall of the vein.

Abstract: The invention relates to a handheld device for the local puncturing of a human or an animal skin, in particular for the introduction of an active substance or for the application of a tattoo or a permanent make-up, comprising a drive unit which is configured so as to produce a repetitive drive movement, and a needle unit which comprises a needle device and is configured so as to couple to the drive unit in such a manner that the repetitive drive movement for the extension and retraction of the needle device can be coupled into the latter, said drive unit having formed on it a displaceable actuating element which is functionally coupled to a needle connection device, and said needle unit having formed on it a functional member which is assigned to the actuating element, said actuating element and said functional member being configured so as to move the actuating element from a first displacement position to a second displacement position by means of the assigned functional member when coupling the needle unit

Abstract: There provided a drug delivery device adapted for providing a plurality of discrete doses of a medicament including a disposable delivery unit (2) adapted to be worn by a user, comprising a reservoir (10b) for holding a medicament to be delivered, an injection member (22) adapted for trans-dermal drug delivery, and a pump (12) adapted for pumping the medicament to be delivered from the reservoir (10b) to the injection member (22); and a separate reusable base unit (4) comprising a drive module for driving the pump (12). The pump in the disposable delivery unit is activated to deliver a dose of the medicament by bringing the base unit temporarily into communication with the delivery unit.

Abstract: A medicament delivery device includes a generally elongated tubular housing having opposite proximal and distal parts; a needle shield sleeve slidably and coaxially arranged inside the housing with a proximal part of the sleeve protruding a distance outside the proximal part of the housing; a syringe carrier mechanism having a syringe carrier slidably and coaxially arranged within the needle shield sleeve, a syringe having a stopper, a medicament, and a needle, the syringe being coaxially arranged within the syringe carrier; and a holding member connected to the syringe carrier; a first activator member and a second activator member; a drive mechanism adapted to accumulate a drive force for moving the syringe carrier mechanism in a first step and a second step. The second activator member is arranged with an information device for producing audible, visual, and/or tactile feedback to a user about a completed injection.

Abstract: The present invention is generally directed to improved methods, devices, and systems for eye surgery. In some embodiments, the invention may provide new and/or improved devices, systems, and methods for detecting surgical fluids in a fluidics cassette, particularly cassettes which are used to couple an eye treatment probe to an eye treatment console. Rather than relaying on internal reflection by a gas-liquid interface, the fluid detection techniques described herein may make use of the changes in propagation of light through a portion of the holding tank when the portion varies between empty and full. For example, light may propagate directly through the holding tank portion when there is no surgical fluid, but may be directed away from a light detector when the portion of the holding tank is filled with surgical fluid.

Abstract: A miniature pump device, with a fluid reservoir that can contain an intravenous drug, hydraulic fluid, or the like. The miniature pump has a motor disposed adjacent the fluid reservoir, and a piston disposed within the fluid reservoir. A power transfer linkage transfers power from the motor to the piston in the fluid reservoir, and a stationary flexible seal is coupled between the fluid reservoir and the power transfer linkage to seal a portion of the power transfer linkage within the fluid reservoir.

Abstract: An infusion pump assembly includes an enclosure assembly. A reservoir assembly is positioned at least partially within the enclosure assembly and is configured to contain an infusible fluid. A pump assembly is positioned at least partially within the enclosure assembly and is configured to effectuate the dispensing of the infusible fluid contained within the reservoir assembly. Processing logic is positioned at least partially within the enclosure assembly and is configured to control the pump assembly. A removable cover assembly is configured to releasably engage the enclosure assembly. A combination of the removable cover assembly and at least a portion of the enclosure assembly defines a power supply cavity configured to prevent a removable power supply assembly from being reverse-polarity electrically coupled to the processing logic.

Abstract: A tearaway introducer sheath assembly (10) for use in implantation of a catheter into a patient, having an elongated polytetrafluoroethylene sheath tube (12) and a proximal polyethylene hub component (16). The hub comprises two halves (22) insert molded about the sheath tube proximal end and joined to each other by frangible webs (28) enabling manual splitting. At least one pair of opposed holes (42) is formed through the tube proximal end portion 44, and a polyethylene liner (46) is inserted into the tube's proximal end portion. The polyethylene flows into the at least one pair of holes (42) to fuse with the liner, establishing a pair of physical joints (50?) integrally joining the liner (46) to a respective hub half (22). Upon manual splitting of the hub halves, the sheath tube easily splits along its length as a result of a property of the polytetrafluoroethylene material.

Abstract: The present invention provides a syringe device including a needle, a syringe body, and a syringe adaptor between the needle and the syringe body. This syringe adaptor includes a reservoir and a plunger configured to move into and out of the reservoir in a direction perpendicular to the longitudinal direction of the needle. The position and direction of travel of the plunger in the syringe adaptor allows a user of the syringe of the present invention to safely and accurately operate the syringe with one hand.

Abstract: A needle tip protective device for use with percutaneous entry needles. In one embodiment, the needle tip protective device includes a needle guard slidably mounted on a hypodermic needle, the latter having a needle tip located at the distal end thereof, and a change of profile formed medially there along. The needle guard is movable along the hypodermic needle and engageable with the change in profile formed thereon. The engagement with the change in profile is configured to correspond with the ability of the needle trap to entrap the needle tip once the needle trap has advanced the sufficient distance distally along the hypodermic needle. In further refinements, the needle trap may be biased toward the distal needle tip of the needle.

Abstract: A fluid injection system may include an injector, a syringe and an anti-rotation connection. The injector may have a drive piston having a plunger engaging end and the syringe may have a body and a plunger within the body. The plunger may have a proximal end with at least one coupling member adapted for engagement by the plunger engaging end. The anti-rotation connection may be formed by complementary anti-rotation elements associated between the proximal end of the plunger and the plunger engaging end of the drive piston to limit rotation of the plunger within the syringe body. The anti-rotation elements may include the at least one coupling member engaged in a radial groove defining at least one axial edge formed on the plunger engaging end to enable limited rotational movement of the plunger relative to the drive piston when the complementary anti-rotation elements are engaged.

Abstract: An actuating mechanism for a hypodermic syringe comprises a flexible tongue (48) allowing the actuating mechanism to be bent to receive a cartridge (10) of injectant closed at its forward end with a septum (14) and at its rearward end with a slidable bung (18). The forward end of the cartridge (10) is fitted into a socket (36) wherein the tail (34a) of a hypodermic needle (34) pierces the septum (14) to access the injectant. With the cartridge (10) fitted, the tongue (48) is straightened, and a spring clip (50) holds the cartridge (10) in position. A plunger (38) can then be depressed, though a guide (42), to drive the bung (18) forward and make the injection. The cartridge (10), which may be a conventional cartridge of any kind, keeps the assembly rigid in use, and the whole assembly is disposed of after a single use, without dismantling.

Abstract: Connector assemblies are provided for controlling flow in a fluid line that include an outer shell, an inner housing, and a tubular member. The inner housing is disposed within the outer shell and includes a boss disposed adjacent a first end of the outer shell. The inner housing is movable axially within the outer shell between first and second positions when a device is connected to the first end. The tubular member is carried by the inner housing and includes a fluid passage extending between a second end of the outer shell. The tubular member moves axially as the inner housing moves between the first and second positions, and cam features on the outer shell and the tubular member cause the tubular member to rotate as the inner housing moves between first and second positions, thereby opening a fluid path between the fluid passage and the first end.

Abstract: A thrombectomy apparatus for breaking up thrombus or other obstructive material in a lumen of a vascular graft or vessel. The apparatus includes a wire having a first configuration and a second deployed configuration, the wire having a straighter configuration in the first configuration. The wire is operatively connected to a motor for rotation of the wire to contact and break up the thrombus or other obstructive material. A blocking device at a distal portion of the apparatus is movable between a collapsed configuration and an expanded configuration, and is configured in the expanded configuration to block thrombus dislodged by rotation of the wire.

Abstract: A bronchotracheal access valve for a bronchoaspiration apparatus. The valve is characterized in that the rotation of a second member in a given direction with respect to a first member moves the valve from a configuration in which a conduit communicates hydraulically with a sleeve, to a configuration in which the conduit communicates hydraulically with a flush conduit via a duct and a channel to flush an end portion of a catheter.

Abstract: A clamp guard for securing to flexible tubing such as catheters and their extension tubes and about a clamp therealong for housing the clamp at least when the clamp is in a tubing-clamping state, to prevent inadvertent contact of the clamp by a foreign body and undesirable unclamping of the clamp. The clamp guard is removable from around the clamp when desired.

Abstract: A tip assembly for a liquefaction surgical handpiece. The tip assembly has an inner connector and an outer cap. The outer cap contains an external thread for attaching the tip assembly to a handpiece. The inner housing contains an alignment tab and fits within the outer cap so as to allow rotation of the inner connector within the outer cap. The inner and outer liquefaction tip tubes are frictionally fit into a bore in the inner connector. The proximal end of the inner housing contains a gasket that seal the inner housing against the handpiece.

Abstract: An exemplary medical device for subcutaneous disposal at least partially within a patient is disclosed, comprising an antimicrobial material comprising at least one metal and an agent that inhibits diffusion of the at least one metal from the antimicrobial material. The antimicrobial material comprises a coating formed over at least a portion of a surface of the medical device. Methods for preparing medical devices and methods of using the medical devices having the antimicrobial material are also disclosed.

Abstract: Microneedle arrays and drug delivery devices are provided for transdermally delivering a drug formulation to a patient. The microneedle array device includes a substantially planar substrate having an array of apertures; and a plurality of microneedles projecting at angle from the planar substrate, the microneedles having a base portion integrally connected to the substrate, a tip end portion distal to the base portion, and body portion therebetween, wherein each microneedle has at least one channel extending substantially from the base portion through at least a part of the body portion, the channel being open along at least part of the body portion and in fluid communication with at least one of the apertures in the substrate. In a preferred embodiment, each microneedle has a substantially rectangular cross-sectional shape and the channel is open to two opposing surfaces of the microneedle.

Abstract: A personal cleaning apparatus includes a housing that has a bottom wall and a peripheral wall. The peripheral wall has an upper edge defining an opening into the housing. A conduit has a first end and a second end and a perimeter wall extending between the first and second ends. The first and second ends are open. The upper edge of the peripheral wall is integrally attached to and coextensive with the conduit and the conduit is in fluid communication with an interior of the housing. An applicator includes a body portion and a top wall. The body portion has an open distal end with respect to the top wall that is positioned in the conduit. The top wall has a plurality of apertures extending therethrough. The housing may be filled with fluid, the applicator inserted into a person's body and the housing squeezed to eject the fluid.