Abstract: The ANS of a subject is continuously monitored to obtain the sympathetic nervous system (SNS) and parasympathetic nervous system (PSNS) components of the autonomous nervous system while an external stimulus is applied to the subject having a frequency that sweeps across a frequency band. The stimulus may be a vibration, flickering light, or sound. The subject is determined to have entered into a state of homeostasis when the SNS component equals the PSNS component. The value of frequency that corresponds to the state of homeostasis is selected as the fundamental frequency of the subject for use in subsequent treatment protocols.

Abstract: A coronary artery catheter adapted for introducing its distal end into a coronary ostium through an artery includes a catheter body with a lumen formed therein. The catheter body in a natural state includes: a proximal straight section extending distally from a proximal end of the catheter body; a first curved section extending distally from the proximal straight section while being curved; an intermediate straight section extending distally from the first curved section; a second curved section extending distally from the intermediate straight section while being curved; and a distalmost section extending from the second curved section to a distal end of the catheter body. The first curved section and the second curved section, when projected onto a plane on which the first curved section and the intermediate straight section are present, curve in the same direction.

Abstract: A method of producing a catheter tube allows a plurality of catheter tubes to be continuously produced using a common core rod, with a proximal end connecting part efficiently attached. The method involves: forming a tubular body on the core rod including an inner layer covering body and an outer layer covering body; attaching a proximal end connecting part, forming a cylindrically shaped hub to a proximal end of the catheter tube, to a radially outer side of the inner layer covering body and the outer layer covering body; severing a tubular continuous body obtained on the core rod is severed at a given position after the proximal end connecting part is attached to produce a plurality of single tubes, each of which is provided with one of the hubs; and removing the core rod from the single tube.

Abstract: A flushable medical device for short term use, such as a urinary catheter, is disclosed, and also a method for producing such a medical device. The medical device comprises at least an elongate shaft made of a degradable material, the degradability being such that the material becomes essentially totally dissolved if maintained in turbulent water at room temperature for at least 6 hours, but retains its structural integrity in water for at least 5 minutes, and preferably at least 10 minutes. Hereby, the medical device can be used for the intended short term use, and then be flushed in an ordinary toilet after use. The degradable material preferably comprises at least one of monosaccharide, disaccharide, oligosaccharide and polysaccharide. In a preferred embodiment, the degradable material primarily comprises water, at least one of sugar and starch and gelatin.

Abstract: A packaged incontinence treatment device includes a catheter enclosed in a package having a closure jaw. The package has a lower portion coupled to an upper portion by a hinge plate that forms a rear wall of the package. The hinge plate allows the upper portion to pivot away from the lower portion to open the package. The closure jaw includes a first wall that is attached to the lower portion by a hinge line and an overlap wall that is attached to the first wall by a front wall. The overlap wall is releasably secured to the upper portion of the package.

Abstract: The present invention provides a urinary catheter assembly which comprises at least one urinary catheter for collecting urine from a body opening and a collecting bag connected to the catheter, in a way that a urinary flow can be established in a flow path from the catheter into the bag. The assembly further comprises a catheter package with a container and a cover. The container forms an accommodation for an insertable part of the catheter, and the cover forms a cavity for the collecting bag. The cover is releasably fixed to the container. Furthermore, the package forms an overlap in which the cavity partly covers the accommodation.

Abstract: Medical devices as well as methods for making and using medical devices are disclosed. An example medical device may include an elongate catheter shaft having a distal end. A tip member may be rotatably coupled to the distal end of the catheter shaft. The tip member may have a groove formed therein. The groove may extend along a portion of the circumference of the tip member. A control member may be coupled to the catheter shaft. The control member may be configured to engage the helical groove and rotate the tip member.

Abstract: The present invention provides compositions of matter suitable for the prevention of and/or treatment of a spinal disorder and/or spinal pain, e.g., caused by and/or associated with intervertebral disc (IVD) degeneration, and methods of treatment of a spinal disorder and/or spinal pain. For example, the compositions of the present invention comprise a modulator of growth differentiation factor (GDF)-6 signaling sufficient to reduce or prevent or delay IVD degeneration and/or to enhance or induce IVD regeneration. The present invention also provides medical devices comprising such compositions, and methods of treatment making use of such compositions.

Abstract: A medical system comprises a medical probe including an elongated probe body, a lumen extending within the probe body, an axially flexible section, and a push-pull member slidably disposed within the lumen. The system comprises a ditherer mechanically coupled to the member for cyclically displacing it axially back and forth within the lumen, such that the ends of the probe body are axially displaced relative to each other via the axially flexible section. The system further comprises a sensor for sensing a force axially applied to the distal end of the probe body. A method comprises introducing a medical probe into a patient, axially dithering the distal end of the medical probe back and forth relative to the proximal end of the medical probe, and sensing a force applied between tissue of the patient and the distal end of the medical probe while the distal end is axially dithered.

Abstract: An anchoring system for securing a catheter to a patient includes an anchor pad and a retainer. The retainer is supported by the anchor pad and includes a base and a cover. A groove upon the base is arranged to receive a branching site of a catheter where the lumens merge distal to the insertion site. One or more posts also protrude from the base to the cover at a position which will be disposed between the two distal branches of the catheter. The cover closes over the base, securing the branching site between the groove and the posts. The contact between the retainer and catheter thereby inhibits inadvertent motion of the catheter upon the patient. A latch mechanism is disposed upon the retainer to maintain the cover in a closed position over the branching site of the catheter on the base.

Abstract: A slidable locking device for fixing a position of a medical device, includes a housing having a passageway therethrough and an actuator coupled to the housing movable between a locked position and an unlocked position. The actuator includes at least two arms extending therefrom that are operatively coupled with at least two engaging members disposed within the housing, each engaging member having a slot configured to receive a respective arm of the actuator, the engaging members being biased towards the housing passageway, wherein the engaging members are disposed toward the housing passageway when the actuator is in the locked position, and the engaging members are disposed away from the housing passageway when the actuator is in the unlocked position.

Abstract: A system includes an elongate catheter having a self-expanding frame disposed at the distal end of the catheter. The frame includes a plurality of longitudinal struts defined by parallel slots. The frame may be constrained into a radially compressed configuration for delivery to a treatment site. A helical balloon is mounted about the frame. Upon release from the constraining mechanism, the frame returns to a heat-set radially expanded configuration to initiate dilation of a treatment site in a patient. Inflating the balloon around the expanded frame further expands the initial radial dilation of the site. Proximal and distal ends of the slots are unobstructed by the balloon to permit flow of a fluid through the slots and through a lumen defined by an interior surface of the balloon when the frame is in the radially expanded configuration.

Abstract: A medical device having an elongate support structure and an inflatable balloon including a first-end portion secured to the support structure at a first location, a second-end portion secured to the support structure at a second location distal to the first location, and a middle-body portion. The first-end portion has a wall thickness greater than a wall thickness of the middle-body portion; the balloon defines a sealed interior through which the support structure extends. The balloon being stretch-mounted to the support structure in tension relative to the support structure; the balloon is formed in a diamond-like configuration that transitions to a substantially spherical configuration when the balloon is inflated to a inflation pressure that is at least about ten percent greater than atmospheric pressure, such that when inflated to the inflation pressure and anchored in an anatomical body region, resists movement of the support structure relative to the balloon.

Abstract: A system for anchoring a distal end of a catheter at a treatment site includes an elongated catheter shaft that is formed with a lumen and two cone shaped balloon membranes. For the system, the proximal and distal ends of the balloon membranes are affixed to an outer surface of the shaft to establish balloons having inflation chambers between the membranes and the shaft. A first membrane portion of a first balloon membrane extends from the distal end of the membrane end to a balloon membrane midsection and a second membrane portion extends from the midsection to the proximal membrane end. To establish the proper shape for the inflated balloon, the second membrane portion is configured to establish a cone angle, ?, (relative to a proximally directed portion of the longitudinal axis) that is less than or equal to ninety degrees (??90 degrees).

Abstract: A device and method for intravascular treatment of atherosclerotic plaque prior to balloon angioplasty. An intravascular device can comprise a carrier configured for expansion within a vessel. The carrier can have a s plurality of ribbon strips extending longitudinally between a first end and a second end. An open slot can be positioned between adjacent ribbon strips. A plurality of spikes can be positioned on each of the ribbon strips. The spikes can act as serrations for forming cleavage lines or planes in plaque in the vessel. The spikes may also be used to transport medication into the plaque. The plaque preparation treatment can enables subsequent angioplasty to be performed at low balloon pressures, can reduces dissections, and avoids injury to the arterial wall.

Abstract: A drainage cannula having one of three different types of anchor tabs is disclosed. The anchor tab prevents movement of the cannula after positioning a distal portion of the cannula inside of the patient's body and securing the anchor tab to the patient's body (e.g., skin).

Abstract: Disclosed is a method comprising: creating one or more pockets within an inferior turbinate of a patient, inserting one or more it that are easily inserted into the one or more pockets, wherein the one or more implants contain one or more therapeutic compounds and the one or more implants do not need to be removed from the inferior turbinate after implantation into the one or more pockets.

Abstract: An all direction stretchable dressing article is disclosed. The article includes a first surface, a second surface, at least one layer of all directions stretchable polymer, and at least one layer of fibers affixed to at least a part of the polymer layer. The article further includes at least one type of curative material embedded or associated with at least one of the polymer layer or the fiber layer.

Abstract: An assembly used to promote wound healing through the creation of an oxygen gradient, whereby the oxygen gradient hastens the diffusion of oxygen from underlying capillaries and subcutaneous tissue up through and over an overlying target site of skin tissue. In an exemplary embodiment, the assembly provides a flush cycle and/or a negative pressure cycle to enhance the flow of oxygen from the subcutaneous tissue and the capillaries to the target site. In an exemplary embodiment, the assembly further comprises a means for maintaining a constant relative humidity over the wound site.

Abstract: An access port, wherein the access port may include a body having an exterior surface and a chamber defined therein, a bore defined in the body providing fluid communication between the chamber and the exterior surface, a needle in fluid communication with the chamber, a passage defined in the body providing communication between the chamber and the exterior surface, a seal secured within the passage, and an actuator in communication with the needle, configured to move the needle relative to the passage or move the passage relative to the needle.

Abstract: There is provided a tube connector for connecting between a fluid sampling tube and a fluid analyzer, the tube connector includes an end face adapted to identify the tube connector, said end face comprising a reflecting surface having one or more reflective regions adapted to reflect light at a predetermined range of wavelengths.

Abstract: An antimicrobial IV access cap having an inner surface for retaining an antimicrobial agent, and further configured to receive a portion of an access port of an intravascular device.

Abstract: A medical device lead includes a flexible body having a proximal region with a proximal end, and a distal region with a distal end. A connector is coupled to the proximal end of the flexible body of the lead to electrically and mechanically connect the lead to an implantable pulse generator. A composite wire having a proximal end is electrically coupled to the connector. The composite wire includes an inner conductor element and a plurality of outer conductor elements adjacent to and radially spaced from the inner conductor element. A distal end of each of the inner conductor element and the plurality of outer conductor elements is connected to one of a plurality of electrodes in the distal region of the flexible body.

Abstract: A passive cardiac electrical lead is assembled by coupling an inner conductor coil to a connector pin to form an inner conductor assembly. The inner conductor assembly is threaded through a connector insulator. An insulator tubing is placed over the inner coil. A proximal end of the insulator tubing is sleeved over the distal extension of the connector insulator. An outer conductor coil is coupled to a ring connector to form an outer conductor assembly. The inner conductor assembly is threaded through the outer conductor assembly. The ring connector is sleeved on the distal extension of the connector insulator and over the insulator tubing. A proximal seal is sleeved over a socket end of the connector pin. A portion of the proximal seal is seated on the proximal extension of the connector insulator.

Abstract: Embodiments of medical treatment including skin treatment using electrical energy, especially with the primary purpose for skin treatment for aesthetics are described generally herein. Other embodiments may be described and claimed.

Abstract: Providing an electrode structure capable of realizing an electrode array which allows each of the electrodes to be individually controlled while allowing them to be densely arranged and placed in a living body. According to the present invention, an electrode control circuit electrically connected to an electrode body is fixed to a rear portion of the electrode body within a front-viewed contour of the electrode body. This electrode control circuit may be contained in a recess formed in the rear portion of the electrode body, or it may be fixed to the back face of the electrode body. Conversely, an electrically conductive material layer covering the electrode control circuit may be used as the electrode body. A plurality of such bioelectrodes may be arranged in a two-dimensional form on a substrate or connected by a connection line including an electrical wire. Such configurations allow the bioelectrodes to be densely arranged.

Abstract: An implantable electrode array for a cochlear implant has an array trunk that extends along a center axis from an insertion opening in an outer surface of a patient cochlea into the scala tympani. An apical section extends along the center axis from a distal end of the array trunk and a basal branch is separate from the array trunk and extends back from the distal end of the array trunk towards the insertion opening. The apical section follows along an outer lateral wall of the scala tympani during surgical insertion to attain a final insertion position towards the outer lateral wall in an apical portion of the scala tympani beyond a first basal turn of the cochlea. The basal branch attains a final insertion position towards an inner modiolar wall by the first basal turn of the cochlea with the basal branch stimulation contacts facing the inner modiolar wall.

Abstract: A lead delivery apparatus and a method of delivering a medical lead to an anatomic target site. The method includes inserting a hydraulic plug into an internal delivery lumen of a delivery shaft, and coupling a medical lead to the hydraulic plug. Hydraulic pressure is applied to the hydraulic plug through the delivery lumen, thereby moving the hydraulic plug toward an anatomic target site, and advancing the medical lead toward the target site.

Abstract: A method of optimizing the electrical stimulation of a bladder of a patient including selecting a first subset of electrodes from a set of electrodes positioned adjacent to a set of nerves associated with the bladder. The set of electrodes may include one or more electrodes, each of which may be configured to deliver electrical stimulation pulses generated by a stimulator device to the nerves. The method may further include delivering an electrical stimulation pulse through the selected first subset of electrodes and recording at least one parameter of the electrical stimulation pulse after receiving patient feedback.

Abstract: An electrical neuromodulation system and method of meeting a therapeutic goal for a patient using a neuromodulation device. A modulation parameter value is varied by a step size. The neurostimulation device instructs the neuromodulation device to deliver electrical energy to at least one electrode in accordance with the varied modulation parameter value. A therapeutic feedback indicator is compared to a threshold in response to the delivery of the electrical energy. Whether the therapeutic goal has been met is determined based on the comparison, and the previous steps are repeated to determine the modulation parameter value at the resolution of the step size that minimizes energy consumption of the neuromodulation device required to meet the therapeutic goal when delivering the electrical energy to the electrode(s) in accordance with the varied modulation parameter value.

Abstract: A spinal cord modulation system is disclosed. While in one embodiment the system is used for the treatment of pain, other embodiments are also provided. In particular embodiments, the spinal cord modulation system generates and delivers an electrical therapy signal at a frequency of 10 kHz to address pain without creating unwanted sensory and/or motor side effects. The system may further include various signal delivery devices to deliver the therapy signal to a patient's spinal cord region.

Abstract: A system for neural and muscular stimulation, including DBS, cortical and muscle stimulation, heart pacemakers and similar applications. The improvement of our invention over prior art consisting of the possibility of a larger number of electrode pads from where to originate the electrical stimulation for better control of the process. Our invention discloses a system of address wires which controls switches and demultiplexers to select one of a plurality of wires and one of a plurality of electrode pads from where the electric stimulation starts, and latches that maintain some selected choices after the address buses go on to select other wires and other electrode tips. Our invention also discloses time delay lines which are used to keep the stimulating pulses for a pre-assigned time. Finally, our invention discloses telecontrol to select the active electrodes.

Abstract: A method and apparatus for detecting a cardiac event in a medical device that includes sensing a cardiac signal, detecting a cardiac event in response to the sensed signal, determining whether an interval associated with the cardiac signal is less than an interval threshold, determining a noise metric in response to an interval associated with the cardiac signal being less than the interval threshold, determining whether the noise metric is greater than a noise metric threshold, and determining whether to inhibit detecting in response to determining whether an interval associated with the cardiac signal is less than the interval threshold and determining whether the noise metric is greater than the noise metric threshold.

Abstract: A wearable medical device system having an external, necklace-shaped antenna that is sized and configured for placement about the neck of a subject, and having an implantable device with an implanted antenna that communicates with the external antenna to permit the transfer of energy and data between external and implantable components. The wearable medical device includes a control module that communicates with the implanted device via the external antenna. The implantable device includes an electrode configured to provide stimulation to a nerve.

Abstract: Provided is a portable controller and associated method that provides a patient or caregiver the ability to recharge and alter the parameters of an implanted medical device, while allowing the patient substantially unobstructed mobility. To enable mobility, the controller may be worn on a belt or clothing. The controller also allows the patient to turn device stimulation on and off, check battery status, and to vary stimulation parameters within ranges that may be predefined and programmed by a clinician. The controller communicates with the medical device to retrieve information and make parameter adjustments using wireless telemetry, and it can send and receive information from several feet away from the implanted medical device. Charging of a battery contained in the implanted medical device is achieved via an inductive radio frequency link using a charge coil placed in close proximity to the medical device.

Abstract: An external data retrieval apparatus includes a transceiver, and a processing system coupled to the transceiver. The processing system obtains a plurality of measures over a period of time. The measures relate to a quality of a communications channel between the data retrieval apparatus and an active implantable medical device. The processing system determines a trend in the plurality of measures over the period of time, and then determines a preferred time during which to retrieve data based on the trend.

Abstract: Systems, devices and methods for using environmental data to manage health care are disclosed. One aspect is an advanced patient management system. In various embodiments, the system includes at least one implantable medical device (IMD) to acquire at least one IMD parameter indicative of patient wellness, means to acquire at least one environmental parameter from at least one external source, and means to correlate the at least one parameter indicative of patient wellness and the at least one environmental parameter to assist with patient health care decisions. Other aspects and embodiments are provided herein.

Abstract: A method includes providing a mold defining a mold cavity for receiving material to be molded into a molded part, positioning an insert at least partially in the mold such that a portion of the insert defines a portion of the mold cavity, and injecting the material into the mold cavity to substantially fill the mold cavity to form the molded part. The molded par can then be removed from the mold and the insert can be removed from the molded part. The mold can include silicone and the insert can include polyoxymethylene.

Abstract: A retrieval device and an associated implantable cardiac pacing device. The retrieval device includes a grasping mechanism configured to capture a docking member of the implantable cardiac pacing device to draw the implantable cardiac pacing device into the lumen of a retrieval catheter. The grasping mechanism is expandable from a first position to a second position and is biased toward the first position in an equilibrium condition. The grasping mechanism is configured to surround and pass over a head portion of the docking member in the second position, and be contracted toward the first position to capture the docking member with the grasping mechanism.

Abstract: A multi-modal electrotherapy apparatus including circuitry for administering defibrillation therapy and for administering medium voltage therapy (MVT). A combined-use capacitor bank of at least one capacitor stores energy to be administered as defibrillation therapy and MVT. Combined-use discharge circuitry electrically is coupled between the combined-use capacitor bank and patient terminals for selectively administering energy from the capacitor bank according to a plurality of controllable waveforms as either defibrillation therapy or MVT. A controller is configured to cause the discharge circuitry to apply the MVT from the capacitor bank while the capacitor bank undergoes charging in preparation for administration of the defibrillation therapy.

Abstract: External cardiac defibrillators that include automatic or semi-automatic self-contained defibrillators to be used by non-health professionals (physicians, nurses and other specifically trained persons). A power subassembly in an automatic or semi-automatic cardiac defibrillator system which, associated with a computer device, is capable of diagnosing a patient's condition by performing a simplified electrocardiogram, transmitting the data to the electronic device and supplying, controlled by this device, electric shocks to the patient, and also providing or contributing to further ancillary defibrillation functions.

Abstract: A system for managing care of a person receiving emergency cardiac assistance is disclosed that includes one or more capacitors for delivering a defibrillating shock to a patient; one or more electronic ports for receiving signals from sensors for obtaining indications of an electrocardiogram (ECG) for the patient; and a patient treatment module executable on one or more computer processors using code stored in non-transitory media and to provide a determination of a likelihood of success from delivering a future defibrillating shock to the person with the one or more capacitors, using (a) a mathematical transform from a time domain to a frequency domain applied to the indication of the ECG, and (b) a tapered window for identifying the portion of the indications of the ECG on which the transform is performed.

Abstract: Apparatus and method for providing and using a highly precise and low level driver. In one described embodiment, a driver for a magnetic field generating device is provided, the driver including a first digital to analog converter and a second digital to analog converter; a differential amplifier configured to receive a first signal from the first digital to analog converter and receive a second signal from the second digital to analog converter and output a third signal; and an attenuator to configured to receive the third signal from the differential amplifier.

Abstract: The use of red or near infrared light upon neurons of the lumbar plexus that are in distress due to retraction-induced ischemia. The surgeon may protect nerves made ischemic in the surgery by: a) making an incision in a patient, b) inserting an access device into the patient through the incision to at least partially create a path to a spine of the patient, and c) irradiating nervous tissue adjacent the path with an amount of NIR or red light effective to provide neuroprotection.

Abstract: This document provides methods, systems, and devices for inducing a decomposition reaction by directing x-rays towards a location including a particular compound. The x-rays can have an irradiation energy that corresponds to a bond distance of a bond in the particular compound in order to break that bond and induce a decomposition of that particular compound. In some cases, the particular compound is a hazardous substance or part of a hazardous substance. In some cases, the particular compound is delivered to a desired location in an organism and x-rays induce a decomposition reaction that creates a therapeutic substance (e.g., a toxin that kills cancer cells) in the location of the organism. In some cases, the particular compound decomposes to produce a reactant in a reactor apparatus (e.g., fuel cell or semiconductor fabricator).

Abstract: An applicator for applying a radioactive substance to a biological tissue, the applicator comprising a container for receiving the radioactive substance; an application device connectable to the container, by which the substance compound can be applied to the tissue; and at least a part of a conveying device by which the radioactive substance can be supplied from the container into the application device when the application device has been connected to the container.

Abstract: A radiotherapy system comprises a patient support, moveable along a translation axis, an imaging apparatus, comprising a first magnetic coil and a second magnetic coil, the first and second magnetic coils having a common central axis parallel to the translation axis, and being displaced from one another along the central axis to form a gap therebetween, the imaging apparatus being configured to obtain an image of a patient on the patient support, a source of radiation mounted on a chassis, the chassis being rotatable about the central axis and the source being adapted to emit a beam of radiation through the gap along a beam axis that intersects with the central axis, a multi-leaf collimator comprising a plurality of elongate leaves movable between at least a withdrawn position in which the leaf lies outside the beam, and an extended position in which the leaf projects across the beam, and a radiation detector mounted to the chassis opposite the source, the radiation detector having a plurality of detector ele

Abstract: This is a new technique of producing high energy X-rays for radiation therapy at a patient's level. The dose delivery system uses a linear accelerator with no flattening filter. The technique improves patient radiation therapy by reducing radiation scattered to surrounding normal tissue and reducing electron contamination. It increases dose rate to shorten treatment time. The flattening filter reduces the efficiency of the beam by reducing the fluence and increasing scattered radiation. This technique involves removal of the flattening filter. It uses inverse planning to shape the dose distribution.

Abstract: Systems and methods are proposed for accurate and efficient automatic measurement of jaw and leaf positioning in multi-leaf collimator imaging systems. Specifically, the method enables the automated and objective processing of images to determine characteristics of collimator jaws and MLC leaves. These novel techniques enable verification of collimator component positioning to ensure accurate beam modulation for radiation therapy procedures.

Abstract: Data from a first radiation detector and a second radiation detector can be used to determine a radiation dose pattern delivered to a radiation target from a radiation source. The first radiation detector can be positioned to intercept ionizing radiation directed from the radiation source toward the radiation target before the ionizing radiation has impinged on the radiation target and the second radiation detector can be positioned to intercept the ionizing radiation after the ionizing radiation has passed through the radiation target. Methods, systems, articles of manufacture, and computer program products are described.