Abstract: A vibratory massaging device having a spaced plurality of proximity sensors distributed on a massaging surface of the device, and a control circuit operative for controlling vibratory intensities in response to activation of particular ones of the sensors being close to a user's body parts being massaged. The device can be configured as a dildo, including both main and secondary vibrators, the secondary vibrator being within an arm portion that is configured for clitoral stimulation. At least one of the vibrators is automatically driven at increased intensity as penetration increases.

Abstract: Devices, systems and methods are described which control blood pressure and nervous system activity by stimulating baroreceptors. By selectively and controllably activating baroreceptors and/or nerves, the present invention reduces blood pressure and alters the sympathetic nervous system; thereby minimizing deleterious effects on the heart, vasculature and other organs and tissues. A baroreceptor activation device or other sensory activation device is positioned near a dermal bone to provide the treatment.

Abstract: The invention relates to a joint comprising a first joint arm (1) and a second joint arm (2), which is supported pivotally about a pivot axis (A) on the first joint arm (1) and with the first joint arm (1) encloses a spread angle (?), which is between a maximum spread angle (?max) and a minimum spread angle (?min), which is determined by the design of the joint. According to the invention, a locking device (15), which by moving a bar (8) can selectively be brought into a locking position, in which the first joint arm (1) and the second joint arm (2) are locked relative to each other, a release position, in which the first joint arm (1) and the second joint arm (2) can be pivoted freely relative to each other, and an angle limiting position, in which (i) the first joint arm (1) and the second joint arm (2) can be pivoted relative to each other up to a preset stop spread angle (?A) and (ii) a pivoting motion at larger spread angles (?) is blocked.

Abstract: Methods and systems relating to an ankle and foot support system are disclosed. In some embodiments, a covering having a cable tightening mechanism may be associated with a cable that is slidably engaged with the cover. In some embodiments, the cable may be slidably engaged with a tube guide that is attached to the cover. In some embodiments, the cable may form an exposed loop that associates with a loop receiving member. In some embodiments, the loop receiving member may be attached to the cover.

Abstract: A compression garment for treating edema is disclosed. The garment may include first and second bands. Each of the bands may comprise a first end, second end opposite the first end, and an intermediate portion located between the first and second ends. The first and second bands may each comprise short-stretch material having a maximum elastic elongation in the range of about 15% up to about 100%. The first band may wrap around a first portion of a patient's limb. The second band may wrap around a second portion of the limb. The first and second bands may be applied such that the intermediate portion of the first band and the intermediate portion of the second band abut without overlapping one another. Once applied, the garment may provide therapeutic compression to the patient's limb.

Abstract: An air separator (1) comprises a first chamber (2) where blood or other fluid can be received, an inlet and an outlet port associated to the bottom wall (4) and in fluid communication with the first chamber. A first channel (14) extending along the lateral wall of the separator and has a first and a second portion (16 and 18). The channel second portion (18) terminally forms an orifice (15) facing the chamber and extending in an area closer to a top wall (5) of the chamber (2) than to the bottom wall of the same chamber. The orifice faces the top of the separator and has a flow passage cross section greater than that of a first portion (16) of the channel.

Abstract: A hemodialysis catheter is provided which includes a catheter body having a proximal and a distal end and defining at least one lumen. The at least one lumen includes a distal opening and a side opening formed through a sidewall of the catheter body. The side opening communicates with the at least one lumen, and includes guiding structure positioned adjacent a distal side of the side opening configured to smoothly redirect blood flow into the at least one lumen. The guiding structure may be defined by a raised wall, or in the alternative, an angled distal wall of the side opening.

Abstract: An apparatus for positioning a graft and catheter operable for subcutaneous access to the vascular system of a patient. A surgically created, hybrid arteriovenous shunt is provided which comprises a flexible graft and a venous outflow catheter connected to the graft via surgical anastomosis over a cuff. The graft is connected to an arterial source and then to a single lumen venous outflow catheter which deposits dialyzed blood directly into the heart at the right atrium. Methods of surgical placement and performing hemodialysis using embodiments of the apparatus are provided.

Abstract: A bypass provided by a bypass conduit disposed in a vessel which is collateral to an occluded vessel. The bypass conduit comprises a helical wire body having a plurality of connectors connecting adjacent turns of the helical body.

Abstract: An apparatus for applying agents, including hemostatic agent, to the cervix and accompanying areas.

Abstract: Devices, systems, or methods are disclosed herein for treatment of disease in a vertebrate subject. The device can include a quasi-planar substrate; and one or more laterally-mobile effector molecule types at least partially embedded within the quasi-planar substrate, wherein the one or more laterally-mobile effector molecule types is configured to interact with one or more cell types. The device can further include one or more sensors configured to detect at least one aspect of an interaction between the at least one of the one or more laterally-mobile effector molecule types and the one or more cell types; and a controller in communication with the one or more sensors, wherein the controller is configured to responsively initiate modification of at least one of the one or more laterally-mobile effector molecule types, the quasi-planar substrate, and the one or more cell types.

Abstract: A portable therapeutic apparatus and a method for controlling the apparatus are provided. In one aspect the apparatus and the method can be implemented using a patch unit (100, 200) removably attachable to a cradle unit (20), said cradle unit removably attachable to the body of the patient; a position detector (1000) comprising a patch portion (900) and a cradle portion (800), said patch portion coupled to the patch unit, said cradle portion coupled to the cradle unit; a processor adapted for receiving a position indication signal from the at least one position detector, said position indication signal corresponding to a physical proximity of the patch portion to the cradle portion, and, wherein the portable therapeutic apparatus is adapted for at least one therapeutic function selected from the group consisting of delivering a therapeutic fluid into the body of the patient and sensing a bodily analyte.

Abstract: A breastshield is constructed of a low Durometer material. The breastshield includes a nipple tunnel that generally accommodates the shape of a nipple and an aperture that conveys fluids through the breastshield.

Abstract: A medical device for advancement over a guidewire includes a number of lumens therein including a working channel lumen, one or more control wire lumens, and a guidewire lumen. A flexible support within the device includes a number of interlocking elements that resist longitudinal compression, transfer rotational torque, and can bend side to side. The flexible support also includes a slot that is aligned with the guidewire lumen. An outer jacket includes a perforation, slot, slit, or thinned area that is aligned with the slot in the support member and the guidewire lumen in order to allow a device such as a guidewire to be removed from the guidewire lumen and through the support member.

Abstract: A catheter for use in a patient's heart, especially for mapping a tubular region of the heart, has a catheter body, a deflectable intermediate section and a distal a mapping assembly that has a generally circular portion adapted to sit on or in a tubular region of the heart. A control handle of the catheter allows for single-handed manipulation of various control mechanisms that can deflect the intermediate section and contract the mapping assembly by means of a deflection control assembly and a linear control assembly. The deflection control assembly has a deflection arm and a rocker member. The linear control assembly has a linear control member, an inner rotational member and a cam. A pair of puller members are responsive to the deflection control assembly to bi-directionally deflect the intermediate section. A third puller member is responsive to the linear control assembly to contract the generally circular portion of the mapping assembly.

Abstract: A medical device having enhanced steerability for navigation through a patient's vasculature and for positioning the device for performing a medical procedure, such as pulmonary vein isolation. The device generally includes an elongate body, a balloon defining a proximal neck that is affixed to the distal end of the elongate body such that the neck and elongate body are coterminous, a shaft disposed at least partially within the elongate body and at least partially within the balloon, and a pull wire affixed to a distal portion of the shaft, such that pulling the pull wire will cause deflection of the balloon at a point that is immediately distal of the proximal neck of the balloon. Further, the shape of the balloon when deflected and when in a neutral configuration may be substantially the same.

Abstract: A method for manufacturing a balloon catheter assembly includes forming a balloon from a polymer selected from the group consisting of polyamide, polyether block amide, and polyethylene terephthalate, forming a plurality of pores in the polymer, and mounting the balloon onto a catheter shaft. The shaft is configured to supply a fluid to the balloon to inflate the balloon, and the pores are configured to prevent the fluid from passing through the balloon.

Abstract: A catheter for the local delivery of therapeutic agents and methods of using the same for the treatment or prevention of disease are disclosed. A catheter may include a tubular net and a guidewire attached to the tubular net longitudinally along the abluminal side of the net. The catheter may further include a tubular member that opens onto the abluminal side of the tubular net.

Abstract: A single-use needle cover configured to obscure, protect, or hide at least a portion of a needle from view before, during, and/or after an injection and/or aspiration procedure is disclosed. In some embodiments, the cover includes a housing at least partially containing the needle and configured to couple to a syringe, wherein the housing includes an axis and a guide member. In some embodiments, a sleeve has a plurality of tracks configured to slidingly receive the guide member, wherein the sleeve is configured to retract, extend, and rotate with respect to the housing. In some embodiments, after the sleeve has been retracted and extended one time, a first locking member inhibits further retraction of the sleeve and a second locking member inhibits rotation of the sleeve.

Abstract: A fluid delivery system (400A) is generally directed to allowing fluid sources or other fluid delivery components to be reused with multiple fluid targets (318), and includes at least one fluid source (314) fluidly interconnectable with at least one sterilization zone (316) and at least one fluid target (318). This sterilization zone (316) could include one or more sterilization systems that attempt to neutralize contaminants entering the fluid delivery system (400A) by a backflow from the fluid target (318). One such sterilization system (500A-D) includes a container (502a-d) and a flush system (520) for sterilizing the container (502a-d) between uses. Another sterilization system (600) includes a flowpath (604) exposed to an output of an energy source (602) capable of destroying contaminants. Yet another sterilization system could include a sterilizing substance (710) that engages and moves along an interior surface (705) of a housing (704) to treat contamination thereon.

Abstract: An autoinjector comprising an outer housing in which can be mounted a syringe for holding a volume of medicament, the syringe for holding medicament having a needle at one end thereof, a syringe holder for supporting the syringe in an axial position relative to the outer housing, and an intermediate housing at least part of which is located within said outer housing, characterised in that said intermediate housing is provided with a blocking means capable of abutting the syringe or the syringe holder so as to be capable of preventing forward axial movement of the syringe when a forward axial force is applied to said needle before actuation of the autoinjector to deliver an injection, but incapable of preventing forward axial movement of the syringe during actuation of the autoinjector to deliver an injection.

Abstract: An injector system includes a powered injector, a pressurizing chamber in operative connection with the powered injection, a fluid path in fluid communication with the pressurizing chamber, and a manual control in fluid connection with the fluid path. The manual control includes at least one actuator for controlling the injector through application of force by an operator. The actuator provides tactile feedback of pressure in the fluid path to the operator via a fluid connection therewith. An injection system for use in angiography includes a source of saline, a pump in fluid connection with the source of saline to pressurized the saline, a source of contrast, a contrast valve in fluid connection with the source of contrast, a powered injector in fluid connection with the contrast valve, and a pressure isolation mechanism.

Abstract: A needle assembly 10 compromising an infusion needle 11 that includes a needle cannula 13 made of a superelastic material such as Nitinol. The needle cannula is cold-worked or heat annealed to produce a preformed bend 16 that can be straightened within passageway 21 of a coaxial outer cannula 12 for introduction into the body of a patient. Upon deployment from the outer cannula, the needle cannula substantially returns to the preformed configuration for the introduction or extraction of materials at areas lateral to the entry path of the needle assembly. The needle assembly can compromise a plurality of needle cannulae than can be variably arranged or configured for attaining a desired infusion pattern.

Abstract: Intravenous catheter devices are provided which may include one or more adhesive portions which are positioned and configured to temporarily maintain a position of a catheter assembly following catheterization. A release liner covering and protecting the adhesive portions may be automatically removed to reveal the adhesive upon withdrawal of an introducer needle of the catheter assembly. The adhesive may be configured such that a clinician may insert the catheter assembly into the patient, adjust the catheter adapter of the catheter assembly to a desired position, withdraw the introducer needle, thereby removing a protective, non-adhesive release liner from the adhesive of the positioned catheter assembly, thereby temporarily fixing the position of the catheter assembly at the desired position by contacting the exposed adhesive to the skin of the patient.

Abstract: A device and method for positioning a catheter to establish a fluid access site into the vasculature of a patient includes a luer assembly having a cannula or catheter, a shuttle assembly having a stylet for stiffening the catheter, and a holder assembly having an actuator for providing controlled retraction into a handle. The safety catheter comprises a flash window that allows a clinician to view when the vasculature of a patient has been properly accessed and to confirm that the stylet has been fully retracted into a safe position.

Abstract: Provided is a microneedle device where a coating agent has been applied to microneedles having a biodegradable resin. It has been found that the application of the coating agent to microneedles of a biodegradable resin having a predetermined strength allows the microneedles to have excellent performance. Further, with regard to the coating agent, a predetermined type and amount thereof are also useful to demonstrate performance. Accordingly, when a microneedle device 1 is arranged so that at least a part of a microneedle array 2 provided with microneedles 3 made from polylactic acid having a weight average molecular weight of 40,000 or more is coated with a carrier containing physiologically active ingredients, it is possible to attain excellent migration characteristics of the physiologically active ingredients to a living body.

Abstract: A medical device is provided comprising a transcutaneous device unit and a process unit. The transcutaneous device unit may comprise a transcutaneous device for transporting a fluid through a skin portion of a subject, and a mounting surface adapted for application to the skin of the subject. The process unit may comprise a reservoir adapted to contain a fluid drug, the reservoir comprising an outlet means allowing the transcutaneous device to be arranged in fluid communication with an interior of the reservoir, and an expelling assembly for expelling a fluid drug out of the reservoir and through the skin of the subject via the transcutaneous device. The transcutaneous device unit and the process unit further comprise coupling means allowing the reservoir unit to be secured to the transcutaneous device unit in the situation of use. By this arrangement a two-unit system is provided which can be used in a convenient and cost-effective manner.

Abstract: A method and system of delivering a first medicament to a first injection depth and a second medicament to a second injection depth using a single dispense interface. An example medicated module is attachable to a drug delivery device, where the drug delivery device includes a drug reservoir holding a first medicament. The medicated module includes a needle cannula having a sidewall, at least one micro-hole in the sidewall of the needle cannula, and a flexible membrane sealably fixed to an inner surface of the needle cannula. The flexible membrane holds a second medicament between the flexible membrane and a portion of the sidewall having the at least one micro-hole. The first and second medicaments can be delivered to two, axially separate injection depths.

Abstract: To develop a medical needle having a small protecting member that is not separate from a needle and a hub, is not obstructive to the performer during use, and is easy to switch from being in a usable state to being in a protective state. A pair of wings are pivotally connected to a hub provided at the tail end of a needle, the wings being provided on both sides of the axis of the needle; one or two or more link members are connected to the tip of each of the wings with joints interposed therebetween; the tips of the link members are pivotally connected to a cylindrical protecting member slidably fitted onto the needle; and, when the protecting member is moved toward the tip of the needle, the wings and the link members move in such directions as to become parallel to the needle while the protecting member comes to cover the tip of the needle, whereby the above object is solved.

Abstract: An injection apparatus has a barrel (50) that is adapted to receive a container (108) with injection fluid (110). It further comprises a piston rod (98), provided with a thread (100), for expelling injection fluid (110) from such a container (108), which piston rod (98) is guided relative to the barrel (50) in the axial direction (112, 114). Additionally provided is a threaded part (122) whose thread (120) is in engagement with the thread (100) of the piston rod (98), which threaded part (122) is rotatable relative to the piston rod (98) and relative to the barrel (50) in order to set an injection dose, and, during an injection operation, is prevented from rotating relative to the piston rod (98).

Abstract: Some embodiments of a medical infusion pump system include a pump device having a flexible pushrod that can adjust from a curved configuration to a generally straight configuration. The flexible pushrod is part of a drive system of the pump device so that the flexible pushrod can be controllably and incrementally advanced toward a medicine reservoir to incrementally dispense the medicine therein. In particular embodiments, the flexible pushrod may comprise an anti-rotation mechanism, an anti-torsion mechanism, or a combination thereof.

Abstract: Some embodiments of a medical infusion pump system include a pump device having a flexible pushrod that can adjust from a curved configuration to a generally straight configuration. The flexible pushrod is part of a drive system of the pump device so that the flexible pushrod can be controllably and incrementally advanced toward a medicine reservoir to incrementally dispense the medicine therein. In particular embodiments, the flexible pushrod may comprise an anti-rotation mechanism, an anti-torsion mechanism, or a combination thereof.

Abstract: An IV manifold includes a plurality of injection/aspiration ports including a needleless access port (NAC). A check valve included in the manifold is generally located between injection ports. A two-way aspiration can be provided by the NAC having a single elongate valve element including a plug at one end. The elongate valve element has properties for resiliently and sealingly biasing the plug into an aperture of the NAC. In use, the plug is mechanically displaced by insertion of a male Luer for injection or aspiration.

Abstract: Fluid delivery apparatus is described for the delivery of fluids to regions of the body, especially for delivery to regions of the brain. The apparatus includes a first length of implantable tubing having a first end and a first fluid connector portion attached to the first end of the first length of implantable tubing. The first fluid connector portion is releaseably connectable to a complementary second fluid connector portion. An implantable housing is also provided for enclosing and protecting the first fluid connector portion. The implantable housing is openable to provide access to the first fluid connector portion. For example, the housing may have a hinged lid or cover portion. A corresponding method is also described.

Abstract: Irrigation systems having splash shields attachable to bottles or syringes, also including abscess irrigation systems.

Abstract: The invention is to provide a gas mist pressure bath device, which causes to contact carbon dioxide, oxygen or a mixed gas of carbon dioxide and oxygen to the skin or mucous membrane of the head of a living body at pressure higher than a predetermined value for efficiently enabling skin-pass absorption.

Abstract: An emergency eyewash unit includes a pair of water discharge ports oriented to produce a pair of upwardly directed, diverging water streams for inside-out flush flow of contaminants from a person's eyes. These eyewash streams can be combined with a plurality of smaller upwardly directed facewash streams for flushing contaminants from a person's face. The eyewash and/or facewash streams are produced by an eyewash body adapted for rotatable mounting onto a water supply conduit, with a locking clip normally preventing undesired rotational disassembly. The eyewash body may be used in combination with an overhead emergency shower which, in one preferred form, includes a shower spray head carrying multiple flow control and flow shaper elements to produce a substantially uniformly dispersed shower spray pattern.

Abstract: A system for treating a linear wound on a patient has a closing dressing bolster for placing on the patient's epidermis over the linear wound, a sealing subsystem for providing a seal over the closing dressing bolster and the patient, and a reduced-pressure subsystem for delivering reduced pressure to the sealing subsystem. The sealing subsystem and reduced pressure subsystem are operable to deliver reduced pressure to the closing dressing bolster. The closing dressing bolster is operable under reduced pressure to develop a inward closing. The closing dressing bolster may include one or more closing members on each side of a center wound area to create the inward closing when under reduced pressure. A compressive force may also be developed. Other systems and methods are presented.

Abstract: A reduced pressure treatment system is provided that includes a canister that is fluidly connected to a tissue site and is configured to receive fluid drawn from the tissue site under the influence of a reduced pressure. A reduced pressure source provides the reduced pressure and is fluidly connected to the tissue site by a fluid communication path, which may include a source conduit, the canister, and a target conduit. A sensing device communicates with the source conduit and is configured to sense a pressure in the source conduit. A valve communicates with the source conduit and is configured to vent the reduced pressure. A processing unit communicates with the sensing device and the valve and is configured to open the valve for a selected amount of time, determine a decay of reduced pressure, and determine a fill status of the canister based on the decay of reduced pressure.

Abstract: Various forms of skin irritations are treated with an appropriately configured and sized pad provided with a chilled skim milk additive which is useful for treating skin irritations such as diaper rash, irritations caused by incontinence, breast irritations experienced by nursing mothers, hemorrhoidal irritation, and skin irritations resulting from burns, insect bites, and the like. The irritated skin can be treated by applying the pad directly to the irritated skin. The treatment can continue during normal daily activities in various ways. The pad can take the form of breast pads that can be worn inside of a nursing bra, or it can take the form of an adhesive strip that can be adhered to the skin at the affected site. For treating diaper rash or incontinence-caused irritations, the pad can be placed in diapers or in suitable incontinence undergarments.

Abstract: A tampon suitable for feminine hygiene and/or medical purposes is disclosed having a longitudinal body provided with a dome-shaped insertion end and a withdrawal end, from which withdrawal end a withdrawal cord extends. The tampon has compressed absorbent fibrous material and has an outer circumferential surface which is at least partially provided with longitudinal grooves that are separated from each other by longitudinal ribs. The path of the grooves and ribs of the tampon in the longitudinal direction are inclined and correspond to a continuous curved line that has only one point of inflection defining one convex part and one concave part that preferably does not show a maximum or a minimum.

Abstract: A disposable absorbent article includes an absorbent chassis and a fastening system that together define a refastenable pant. The refastenable pant includes a pair of elastomeric front side panels extending from the waist opening to each leg opening, a pair of elastomeric back side panels extending from the waist opening to each leg opening, and a pair of refastenable seams extending from the waist opening to each leg opening and positioned between the elastomeric front and back side panels.

Abstract: A protective undergarment, such as a diaper, includes a sling that is suspended from an outer shell. The sling forms a pocket in which a reusable or disposable absorbent pad can be positioned. The sling has an S-pocket or overlapping pocket at the front end and a cuff at the rear end. The cuff forms a slimmer outer profile than the S-pocket or overlapping pocket and is used only in the rear where leakage is not as significant as at the front. The S-pocket or overlapping pocket and the cuff are both suspended from bumper strips that extend from the waistband. Rectangular hook and loop fasteners and extension members allow a diaper to fit wearers of different waist size.

Abstract: A specimen container includes a specimen storing portion for storing a specimen, wherein the specimen storing portion is provided with an opening on an upper end, a sealing member for sealing the opening, wherein the sealing member is enabled to be passed through by a suction tube for sucking a specimen stored in the specimen storing portion, and a cylindrical portion having a predetermined height to allow insertion of the suction tube, wherein the cylindrical portion is arranged in series with the specimen storing portion on a side provided with the opening.

Abstract: One embodiment includes a method of predicting a position of a target site inside a body using surrogates is provided. The method includes transforming surrogate measurements and target positions into different representations by applying an operator, establishing a special relationship between the transformed surrogate measurements and the transformed target positions, and continuously predicting the target position from the transformed surrogate measurements and the established special relationship.

Abstract: A method and system for wrinkle reduction. The method includes the steps of positioning and applying a patch to skin of a consumer and adhesively securing the patch to the skin. A chemical composition on the patch includes both active ingredients and adhesive. A pair of electrodes are connected to a battery-driven, microprocessor-based controller. A current is applied through the electrodes in the patch for a selected time. The chemical composition in the patch is propelled into the consumer through use of the current in order to relax the skin of the consumer. The patch is removed and any residue of the chemical composition is massaged into the skin.

Abstract: Antibiotics are administered in a surgical site subcutaneously via a small or stab incision in the surgical field. Transcutaneous ultrasonic vibrations are applied across the surgical field, which is then opened in the usual manner, to thereby provide a surgical field which contains a vastly higher and more effective level of antibiotic. At the same time the underlying tissue is hydrated.

Abstract: Methods, devices, kits and compositions to treat a myocardial infarction. In one embodiment, the method includes the prevention of remodeling of the infarct zone of the ventricle. In other embodiments, the method includes the introduction of structurally reinforcing agents. In other embodiments, agents are introduced into a ventricle to increase compliance of the ventricle. In an alternative embodiment, the prevention of remodeling includes the prevention of thinning of the ventricular infarct zone. In another embodiment, the prevention of remodeling and thinning of the infarct zone involves the cross-linking of collagen and prevention of collagen slipping. In other embodiments, the structurally reinforcing agent may be accompanied by other therapeutic agents. These agents may include but are not limited to pro-fibroblastic and angiogenic agents.

Abstract: An anastomosis device that includes a catheter body is provided. A distal end portion of the catheter can include a spring device to prevent the formation of blood clots and to improve the flow of urine out of the catheter. The device may be used, for example, in performing procedures such as a vesico-urethral anastomosis in association with a radical prostatectomy, or with an end-to-end urethral anastomosis.

Abstract: A method and apparatus are disclosed for positioning a compression member about the septum of a seal member. In one embodiment, a source of low pressure or vacuum is provided to draw the septum of seal member into the hollow body of the compression member. In an alternative embodiment, a molding apparatus is provided which is dimensioned to receive a compression member and configured to facilitate molding of the septum within the compression member. In another embodiment, the septum of the seal member includes a septum having a tab extending from the septum. The tab is configured to assist positioned of a compression member about the septum.