Abstract: The present invention provides a wearable medical support for delivery of a treatment to the nose of a subject comprising: a nose mask formed from a heat moldable sheet of thermoplastic material, said nose mask comprises an aperture dimensioned to fit the nose of the subject, said aperture is flanked by two flaps whereby each flap is configured to be in contact with at least part of a lateral side of the nose; and a device configured to close fit said aperture, said device is provided at one end with an opening for receiving the nose and at the other end with at least one coupling suitable to be connected to one or more tubes for delivery of the treatment to the nose. The present invention further provides a sheet of heat moldable thermoplastic material for molding a mask directly on a subject's nose.

Abstract: A nasal cannula can be shaped to fit within a user's nares, where the nasal cannula includes at least one prong allowing high flow delivery of humidified gases and creates positive airway pressure in the patient's airway. The prongs can have angled ends such that, in use, gases flowing through the prongs are directed to the user's nasal passages. The nasal cannula body can be partially swiveling and preferably has a ball joint connector. The nasal cannula can have at least one flared end prong that preferably seals within a patient's nare.

Abstract: An anesthetic breathing apparatus and system, having a patient circle system for re-breathing exhaled gases by a patient a volume reflector, a fresh gas delivery line, and a gas sensor unit arranged to measure a gas stream upstream a fresh gas connection and downstream said reflector unit. The gas sensor unit provides a signal for detection of a reflector driving gas (RDG) crossing over the volume reflector during inspiration based on at least one property of the gas stream measured by the gas sensor unit. Appropriate action may be taken based on this measurement, for instance in disclosed methods.

Abstract: An breathing or anesthesia apparatus and a process for operating a breathing or anesthesia apparatus are provided in which only a very low energy consumption occurs outside of the operating times. The breathing or anesthesia apparatus (1) is put into an energy-saving mode and a function pretest is performed before putting the apparatus into the energy-saving mode. A function self-test is carried out when the breathing or anesthesia apparatus is put into a standby mode.

Abstract: A system for delivering a therapeutic amount of nitric oxide can include a reservoir assembly, a gas supply, and a delivery conduit including a first cartridge, wherein the first cartridge can include a surface-activated material saturated with an aqueous solution of a reducing agent.

Abstract: A portable mechanical ventilator having a Roots blower is configured to provide a desired gas flow and pressure to a patient circuit. The mechanical ventilator includes a flow meter operative to measure gas flow produced by the Roots blower and an exhalation control module configured to operate an exhalation valve connected to the patient circuit. A bias valve connected between the Roots blower and the patient circuit is specifically configured to generate a bias pressure relative to the patient circuit pressure at the exhalation control module. The bias valve is further configured to attenuate pulsating gas flow produced by the Roots blower such that gas flowing to the mass flow meter exhibits a substantially constant pressure characteristic. The bias pressure facilitates closing of the exhalation valve at the start of' inspiration, regulates positive end expiratory pressure during exhalation, and purges sense lines via a pressure transducer module.

Abstract: The present disclosure pertains to a system for enhancing knowledge consolidation in a subject during sleep. New declarative memories may be better consolidated by presenting sensory stimuli during slow wave sleep that correspond to sensory stimuli presented during prior wakeful learning. The sensory stimuli may include odors, sounds, visual stimulation, touches, tastes, and/or other types of sensory stimuli. The system is configured to provide a prompt sensory stimulus during slow wave sleep that corresponds to a wakeful stimulus provided during wakeful learning. The prompt sensory stimulus may prompt enhanced knowledge consolidation in the subject. In some embodiments, the system may comprise one or more of a slow wave sleep inducer, a sensory stimulator, a sensor, a processor, electronic storage, a user interface, and/or other components.

Abstract: A medical catheter assembly includes a catheter tip coupled to a distal end of an elongate catheter member and is symmetric about a plane defined by a septum of the elongate catheter member. The catheter tip defines first and second lumens, and the catheter tip defines first and second openings in the distal portion of the catheter tip. Each opening of the catheter tip is defined by a respective side surface of the catheter tip. Each opening is in fluid communication with a respective one of the first and second lumens of the catheter tip and with a respective one of a pair of lumens defined by the elongate catheter member. The distance between upper and lower surfaces of the catheter tip decreases from a distal end of the proximal portion toward a closed distal end of the catheter tip.

Abstract: A catheter assembly includes an elongate member and a balloon. The elongate member defines at least one lumen and an outer surface. The outer surface defines at least one opening in fluid communication with the at least one lumen. The balloon is disposed within the at least one lumen. The balloon is inflatable such that a portion of the balloon expands from the at least lumen through the at least one opening. The expansion of the balloon increases the flow restriction through the at least one opening compared to the flow restriction through the at least one opening when the balloon is in a deflated condition. Methods for using a catheter assembly to remove occlusive material from a catheter are also described.

Abstract: A method of placing spinal epidural catheters prior, during or after spinal surgery is provided. The method may include an epidural catheter tunneled externally down an epidular space above the operative site so as to continuously infuse analgesic solution through the catheter into a predetermined site.

Abstract: A deflectable catheter including an outer member having a proximal portion and a distal portion, an elongated column member extending distally from the outer member and an inner member positioned coaxial with the outer member and attached to the column member. The inner member extends distally of the outer member and has a distal tip portion. A reinforcement member is positioned over the column member to restrict axial movement of the column member such that when one of the inner member or outer member is moved with respect to the other, axial compression of the column member is restricted by the reinforcement member causing the distal tip portion of the inner member to deflect laterally.

Abstract: A catheter comprises a flexible polymer catheter body including a proximal shaft section and a distal working section, a wire support structure embedded within the distal working section of the catheter body, a proximal adapter mounted to the proximal shaft section of the catheter body, and a wire disposed within the catheter body. The wire has a proximal end and a distal end. The proximal end of the wire being operably connected to the proximal adapter, and the distal end of the wire is anchored to the wire support structure.

Abstract: This invention is directed towards a guidewire comprising an elongated core having a proximal section and a distal section. One or the other of the proximal or distal sections of the guidewire have a hydrophobic coating. The hydrophobic coating comprises hydrophobic ink.

Abstract: Composite fiber reinforced balloons for medical devices are prepared by applying a web of fibers to the exterior of a preformed underlayer balloon, encasing the web with a matrix material to form an assembly, and inserting the assembly into a preformed outer layer balloon to form the composite balloon.

Abstract: A body cavity drainage device for a patient includes a drainage tube having a proximal end, a distal end, and one or more lumens extending longitudinally through a wall thereof. The distal end may be configured to be inserted into a body cavity of a patient during use of the body cavity drainage device. The body cavity drainage device may include an activation apparatus configured to alter a position of the distal end of the drainage tube relative to the proximal end of the drainage tube. The activation apparatus may include a rotatable control device and one or more flexible members disposed within the one or more lumens extending longitudinally through a wall of the drainage tube. The one or more flexible members may be operably coupled to the rotatable control device at a proximal end of the one or more flexible members and to the drainage tube at or near a distal end of the one or more flexible members. Methods relate to forming and using a body cavity drainage device.

Abstract: Disclosed is a drainage tube that includes: a conduit member which has a first end, a second end, and a drainage passage disposed between the two ends. The first end is inserted into a diseased part of a Bartholin's duct abscess through an incision. A first wing member is provided on an outer circumference at a side of the first end and prevents the conduit member inserted into the diseased part from being separated. A second wing member is provided on the outer circumference at a side of the second end and restricts the depth to which the conduit member is inserted into the diseased part. Pus or the like may be smoothly drained from the diseased part while the incision heals.

Abstract: In one aspect, an implantable shunt system is disclosed that, in one example implementation, includes a resilient member and a connected fluid regulating device. The fluid regulating device selectively permits fluid flow through an opening valve of an implantable shunt according to an adjustable opening pressure. The opening pressure is proportional to an amount of tension on the resilient member. One or more tension sensors that are connected to the resilient member measure an amount of tension on the resilient member. The tension sensors generate tension data that corresponds to the measured amount of tension. The system further includes a communication unit with a transmitting unit that transmits the measured data over a communication link. The system also includes a reading unit that receives the transmitted tension data over the communication link. The reading unit includes a connector that electrically connects the reading unit to the transmission unit.

Abstract: A centering tool and a combined centering-indicator tool for finding the magnetic center and indicating the setting of an implantable adjustable valve. The centering and combined centering-indicator tools include a magnetic capsule movable within a cavity to a target located on the tool when the magnetic capsule is centered over magnet of an adjustable valve.

Abstract: A device and method for dilating a Eustachian tube of a patient is disclosed. The device includes a guide catheter and a balloon dilation catheter. The balloon dilation catheter has an actuator that prevents injury to the middle ear. The balloon dilation catheter is slidably coupled with the guide catheter through the guide catheter lumen and is fully inserted into the guide catheter lumen when the distal side of the actuator is adjacent to the proximal end of the guide catheter. The method involves advancing the guide catheter and balloon dilation catheter through a nasal passage of the patient to dilate a portion of the Eustachian tube.

Abstract: Presented herein are implantable systems and methods for long-term delivery of treatment substance to the ear of a recipient of an implantable auditory prosthesis.

Abstract: Embodiments herein may relate to a unit dose system that may include a first applicator and a second applicator. The first applicator may include a crushable ampoule that includes approximately 1 milliliter (mL) of a silver salt solution disposed therein. The first applicator may further include a first syringe tip coupled with the crushable ampoule. The second applicator may include a flexible filled tube that includes approximately 4 mL of a varnish disposed therein and a second syringe tip coupled with the flexible filled tube. Other embodiments may be described and/or claimed.

Abstract: There is described a method for making an array of micro-needles, comprising the steps of: depositing a plurality of drops of a liquid substance comprising a polymer on a surface of a starting substrate; positioning a pyroelectric substrate at a certain distance from the starting substrate in such a way that the drops deposited are positioned between said surface of the starting substrate and a surface of the pyroelectric substrate; varying the temperature of the pyroelectric substrate or a part thereof to induce on said surface of the pyroelectric substrate a charge density such that starting from the drops deposited, under the effect of an electrodynamic force, respective cones are formed having a tip facing towards the pyroelectric substrate; determining a consolidation of the cones, to form said micro-needles, preventing the tip of said cones from contacting said surfaces of the pyroelectric substrate.

Abstract: A microneedle array in accordance with one embodiment comprises at least a first microneedle and a second microneedle that are inclined with respect to a support face. A tip of the first microneedle points in a first direction, and a tip of the second microneedle points in a second direction different from the first direction. The first microneedle in contact with skin is stuck into the skin while being moved along a surface of the skin in the first direction. The second microneedle in contact with the skin is stuck into the skin while being moved along the surface of the skin in the second direction.

Abstract: Disclosed herein are disinfecting caps that can be used to cover and disinfect both a male medical connector and needleless injection site when not in use or when disconnected from each other. The caps contain a disinfecting agent.

Abstract: The present invention provides for a safety device and methods of using a safety device for use with a medical implement having a body with an inlet end portion, the safety device comprises a bracket for mounting on the body of the medical implement; a cap supported by the bracket and sized to fit over and seal the inlet end portion of the medical implement in a safety position wherein the cap covers the medical implement; an elongate shaft having a longitudinal axis, the shaft being secured to the cap and being slidably and pivotally supported by the bracket so that the cap can be raised away from the inlet end portion of the medical implement and be pivoted about the longitudinal axis of the shaft away from the inlet end portion; and a biasing means for biasing the cap to the safety position.

Abstract: An anti-blood-loss valve based on a valve body (6) of flexible, soft material, divided into two parts by an open/close valve (3) on each side of which two valves are seen, one for extracting blood for analysis (4) and the other for blood for reinfusion (5). The valve body (6) also has an input with a connector to the catheter (1) and, opposite, another connector to the serum and/or reinfusion system (2).

Abstract: A circumferential headset for use in delivering electrical stimulation to the skin surface of the head.

Abstract: The present disclosure relates to a patch device attached to a head to apply electrical stimulation to a brain, comprising, in accordance with one exemplary embodiment of the present invention, a flexible board comprising a first side and a second side placed on the opposite of the first side, bendable along with a curve of the head; a stimulation control circuit formed on the first side of the flexible board and controlling a current applied to a plurality of adhesion portion; a cover layer formed on the stimulation control circuit in order to cover the first side; and a plurality of adhesion portion adhered to the head when the patch device is attached to the head, formed on the second side of the flexible board separately from each other for insulation.

Abstract: Methods of treating language, behavioral and social disorders are described, including methods of treating language disorders associated with electrographic abnormalities in the primary or associative language cortex of persons with autism spectrum disorders, pervasive developmental delay or acquired epileptic aphasia. A language, behavioral and social disorder may be treated by detecting epileptiform activity or an electrographic seizure for a subject's brain and applying neurostimulation to a language cortical region of the subject's brain (e.g., a primary or associative language cortical region). Detection of epileptiform activity or an electrographic seizure and stimulation of language cortex may be performed by a sensing and/or stimulation electrode that is inserted into a subject's brain and connected to one or more neurostimulation devices for monitoring and/or stimulating the language cortex.

Abstract: Methods and apparatus are provided for multi-vessel neuromodulation, e.g., via a pulsed electric field. Such multi-vessel neuromodulation may effectuate irreversible electroporation or electrofusion, necrosis and/or inducement of apoptosis, alteration of gene expression, action potential attenuation or blockade, changes in cytokine up-regulation and other conditions in target neural fibers. In some embodiments, the multi-vessel neuromodulation is applied to neural fibers that contribute to renal function. Such multi-vessel neuromodulation optionally may be performed bilaterally.

Abstract: A cuff for use in nerve stimulation includes a sheet of elastomer having at least one electrode and being pre-stressed so as to allow its spiral self-winding to form a cuff around the nerve. The sheet is delimited by a first width defining an outer edge of the cuff after winding, a second width defining an opposite inner edge, a first length and a second opposite length. The first width is at both ends connected to the two lengths by a respective bevel edge forming an oblique angle relative to the direction of greatest dimension of the sheet.

Abstract: The invention relates to an implantable capsule, particularly an autonomous capsule of cardiac stimulation, comprising a tubular body provided at the distal end of an anchoring element with a helical screw adapted to penetrate tissue a wall of an organ of a patient, the body housing a set of functional elements of the capsule. It comprises an annular support integral with the body and coaxial therewith, said support surrounding the base of the anchoring element and comprising a series of openings radially extending. The base of the anchoring element comprises a series of rods or tubes projecting in a generally radial direction, and engaged in said openings to thereby secure the anchoring element to the support.

Abstract: An electrical stimulation system includes an electrical stimulation lead with at least one lead body, electrodes disposed along the distal end portion of the lead body(ies), terminals disposed along the proximal end portion of the lead body(ies), and conductors electrically coupling the terminals to the electrodes. The electrical stimulation system also includes a lead extension coupleable to the electrical stimulation lead. The lead extension includes a connector for receiving the proximal end portion of the electrical stimulation lead. The electrical stimulation system further includes a sheath defining a sheath lumen to slidingly receive a portion of the electrical stimulation lead or a portion of the lead extension or a portion of both the electrical stimulation lead and the lead extension. The sheath includes a flexible sheath body and an elongate RF shield disposed within the sheath body and extending along the sheath.

Abstract: An electrical stimulation lead includes at least one lead body having a distal end portion, a proximal end portion, and an outer surface. Each lead body has a lead jacket. The lead also includes electrodes disposed along the distal end portion of the at least one lead body; terminals disposed along the proximal end portion of the at least one lead body; and conductors extending within the at least one lead body to electrically couple the terminals to the electrodes. The conductors include at least one first conductor and at least one second conductor with the at least one first conductor coiled around the at least one second conductor. The lead further includes a conductive RF shield disposed between at least a portion of the lead jacket and around at least a portion of each of the conductors. A lead extension can be similarly constructed.

Abstract: Provided is a micro-current therapy device using high electric potential to provide high electric potential therapy by generating high electric potential as high voltage induced from a high-voltage transformer, and regulating micro-current of the generated high-electric potential. The micro-current therapy device supplies commercial AC power through a power unit. When a frequency operation signal is inputted through an operation unit, a control unit generates a relay control signal and a high-potential current control signal according to the frequency set by the operation unit. A relay unit supplies or cuts off the commercial AC power supplied from the power unit according to the relay control signal. A high-voltage output unit outputs a high electric potential by boosting up the commercial AC power outputted from the relay unit. A current regulating unit regulates the high electric potential current, thereby applying the optimized high electric potential to a therapy part of a user.

Abstract: Various embodiments provide methods and systems for the biphasic iontophoretic transdermal delivery of therapeutic agents. An embodiment of a method for such delivery comprises positioning at least one electrode assembly in electrical communication with a patient's skin. The assembly includes a solution comprising a therapeutic agent which passively diffuses into the skin. A dose of agent is delivered from the assembly into the skin during a first period using a first current having a characteristic e.g., polarity and magnitude, to repel the agent out of the assembly. During a second period, a second current having a characteristic to attract the agent is used to retain the agent in the assembly such that delivery of agent into skin is minimized. A dose of agent may be delivered on demand by an input from the patient. Embodiments may be used for delivery of agents which cause adverse effects from unwanted passive diffusion.

Abstract: A method of training an individual includes receiving data indicative of a training suitability state of an individual upon a tiltable support platform, and commanding electrical stimulation of a spinal reflex pathway innervating a muscle in the individual, responsive to the data, and such that the muscle reflexively contracts to tilt the support platform. A value indicative of an amplitude of the reflexive contraction is electronically recorded.

Abstract: System for generating a distally traveling synthetic esophageal motion within a subject's esophagus. Includes: elongated member sized and configured for nasal or oral placement into the esophagus; series of stimulators mounted/mountable on and distributed along a length of elongated member, for stimulating portions along an esophageal length spanning between esophagus LES and UES, and include at least two longitudinally spaced electrodes, chargeable to opposite polarities; and signal generator for generating and sending sequences of stimulating signals to stimulators, to evoke a plurality of local esophageal contractions as distally traveling synthetic esophageal motion along the esophageal length. Also disclosed is an implant suitable for use in generating a distally traveling synthetic esophageal motion within a subject's esophagus, for example, suitable for use in the disclosed system.

Abstract: Energy is transmitted noninvasively to a patient using electrode-based stimulation devices or magnetic stimulation devices that are designed to non-invasively stimulate nerves selectively. The devices produce impulses that are used to treat atrial fibrillation, by stimulating a vagus nerve of a patient. The devices are also used to forecast the imminent onset of atrial fibrillation and then avert it by stimulating a vagus nerve.

Abstract: An apparatus includes multiple first reservoirs and multiple second reservoirs joined with a substrate. Selected ones of the multiple first reservoirs include a reducing agent, and first reservoir surfaces of selected ones of the multiple first reservoirs are proximate to a first substrate surface. Selected ones of the multiple second reservoirs include an oxidizing agent, and second reservoir surfaces of selected ones of the multiple second reservoirs are proximate to the first substrate surface.

Abstract: Systems and methods of use for guiding the flow of energy through a subject to stimulate tissue.

Abstract: Arrangements are described for assessing potential fitting processes for a cochlear implant patient. A test stimulation sequence at a given test frequency is delivered to the cochlear implant patient. The test stimulation sequence includes jittered stimulation periods when the test frequency varies due to a jitter variation component, and unjittered stimulation periods when the test frequency is constant without a jitter variation component. At least two different responses of the cochlear implant to the test stimulation sequence are measured in parallel. The different responses include an objective electrophysiological response, and a subjective psychophysical response. A correlation between the different responses is evaluated to determine an appropriate fitting process for the cochlear implant patient.

Abstract: Arrangements are described for fitting a cochlear implant system to an implanted patient. A test stimulation sequence is delivered to the implanted patient which is based on a concatenated sequence of time shifted envelopes of sinusoidal amplitude modulated (SAM) signals that have a carrier frequency fc modulated by a jittered modulation frequency fm+?, where ? is a frequency jitter component selected from a jitter range of [??1,+?1]. Patient responses to the test stimulation sequence are simultaneously measured including an auditory steady-state response (ASSR) measurement signal and a psychophysical pitch discrimination response. The time shifted envelopes are adapted to avoid measurement artifacts in the ASSR measurement signal around the modulation frequency fm.

Abstract: The application relates to a hearing assistance device comprising an implantable part for electrically stimulating an auditory nerve of a user. The application further relates to a method of operating a hearing assistance device. The object of the present application is to improve the electrical stimulation of the cochlear nerve by a cochlear implant hearing assistance device. The problem is solved in that the implanted part comprises a) a current source generator; and b) an electrode array configured to be located inside one of the cochlear scala or adjacent to the auditory nerve. The hearing assistance device is configured to produce a time-varying waveform delivered by the current source generator, the time-varying waveform comprising a positively sloping positive pulse. This has the advantages of providing a smaller spatial spread of neurons being discharged by electric stimuli from a given electrode. The invention may e.g. be used in cochlear implant hearing assistance devices.

Abstract: Apparatus and methods for installing a magnet into a cochlear implant.

Abstract: Methods and apparatuses to detect configuration commands from waveforms received at a retina prosthesis device for calibrating the device are described. The device can comprise an array of pixel units to receive light to stimulate neuron cells to cause an effect of visual sensation from the light. The pixel units may have configurable parameters for the stimulation to the neuron cells. The configurable parameters may be updated according to the configuration commands detected without requiring micro processor and non-volatile memory in the device. The stimulation may be generated according to the updated configurable parameters to improve the effect of visual sensation from the light including compensation for the physiological and environmental variations and drifts.

Abstract: This disclosure is directed to extra, intra, and transvascular medical lead placement techniques for arranging medical leads and electrical stimulation and/or sensing electrodes proximate nerve tissue within a patient.

Abstract: Apparatus and methods for treating back pain are provided, in which an implantable stimulator is configured to communicate with an external control system, the implantable stimulator providing a neuromuscular electrical stimulation therapy designed to cause muscle contraction to rehabilitate the muscle, restore neural drive and restore spinal stability; the implantable stimulator further including one or more of a number of additional therapeutic modalities, including a module that provides analgesic stimulation; a module that monitors muscle performance and adjusts the muscle stimulation regime; and/or a module that provides longer term pain relief by selectively and repeatedly ablating nerve fibers. In an alternative embodiment, a standalone implantable RF ablation system is described.

Abstract: Methods of treating language, behavioral and social disorders are described, including methods of treating language disorders associated with electrographic abnormalities in the primary or associative language cortex of persons with autism spectrum disorders, pervasive developmental delay or acquired epileptic aphasia. A language, behavioral and social disorder may be treated by detecting epileptiform activity or an electrographic seizure for a subject's brain and applying neurostimulation to a language cortical region of the subject's brain (e.g., a primary or associative language cortical region). Detection of epileptiform activity or an electrographic seizure and stimulation of language cortex may be performed by a sensing and/or stimulation electrode that is inserted into a subject's brain and connected to one or more neurostimulation devices for monitoring and/or stimulating the language cortex.

Abstract: One aspect of the present disclosure relates to a closed-loop therapy system for treating post-traumatic stress disorder (PTSD) in a subject. The therapy delivery system can include a sensing component, a delivery component, and a controller. The sensing component can be configured to detect at least one physiological parameter associated with PTSD. The delivery component can be configured for implementation on or about a ganglion of the sympathetic nervous system (SNS). The controller can be configured to automatically coordinate operation of the sensing and delivery components. The controller can also be configured to deliver an electrical signal to the delivery component so that activity of the ganglion of the SNS is substantially blocked without enhancing a symptom of PTSD.