Abstract: A TET system is operable to vary an amount of power transmitted from an external power supply to an implantable power unit in accordance with a monitored condition of the implantable power unit. The amount of power supplied to the implantable power unit for operating a pump, for example, can be varied in accordance with a cardiac cycle, so as to maintain the monitored condition in the power circuit within a desired range throughout the cardiac cycle.

Abstract: A blood purification apparatus is provided that allows setting work at the time of blood purification treatment or preparation for the treatment to be easily and smoothly performed.

Abstract: A blood processing apparatus includes an optional heat exchanger and a gas exchanger disposed within a housing. In some instances, the gas exchanger can include a screen filter spirally wound into the gas exchanger such that blood passing through the gas exchanger passes through the screen filter and is filtered by the spirally wound screen filter a plurality of times.

Abstract: In one aspect, a peritoneal dialysis (PD) machine can be used to detect a heater bag filled with dialysate. The PD machine has a heater tray that includes a temperature sensor and also has a processor that determines a status of the heater bag based on data received from the temperature sensor. For example, the status may be presence of the heater bag on the heater tray and/or correct positioning of the heater bag on the heater tray.

Abstract: Method and apparatus for ultrafiltration of a patient being overhydrated due to congestive heart failure, comprising a cassette having four inlets/outlets. A patient tube is connected to a patient connector, intended to be connected to a patient line for access to a peritoneal cavity of the patient. The patient tube comprises a flow pump for addition and removal of a peritoneal fluid between the cassette and the peritoneal cavity. The fluid is introduced into an intermittent bag controlled by an intermittent valve and then returned the same way back to the peritoneal cavity. Glucose is metered into the fluid entering the peritoneal cavity by means of a glucose pump. Glucose is replenished continuously or intermittently for keeping a concentration of the osmotic agent substantially constant in the peritoneal cavity. After treatment, the peritoneal fluid is drained to a drain bag, wherein the drain tube comprises a drain valve and an albumin filter.

Abstract: The present teachings provide a blood purification apparatus in which inadvertent replacement of a container bag attached to a hanger portion can be avoided the blood purification apparatus including a holding device capable of holding a container bag that contains a liquid for blood purification treatment, such as dialysate, substitution fluid, or anticoagulant, the blood purification apparatus being capable of performing blood purification treatment using the liquid in the container bag, and the holding device including a hanger portion including an attachment portion to which the container bag can be attached, and movable between a use position and a replacement position, a measuring device capable of measuring the weight of the container bag held by the hanger portion, and a restricting device that restricts attachment and detachment of the container bag to and from the attachment portion when the hanger portion is in the use position.

Abstract: A system and methods are described for improving the management of ischemic cardiac tissue during acute coronary syndromes. The system combines a catheter-based sub-system which allows for simultaneous balloon dilation of a coronary artery and infusion of a carefully controlled perfusate during percutaneous coronary intervention. The system allows for modulation of levels of oxygen at the time of percutaneous intervention. In addition, catheters and systems are provided for administration of fluids with modified oxygen content during an intervention that incorporate upstream flow control members to compartmentalize the perfusion of the target coronary artery and the remainder of the heart.

Abstract: A hemofilter system. In one embodiment, the hemofilter system includes a container having a first surface, a second surface, and one or more wall surfaces, the first surface, the second surface and the one or more wall surfaces defining a volume; an input port in fluid communication with the first surface; an output port in fluid communication with the second surface; a filter bed comprising a plurality of planar magnetic meshes stacked in close juxtaposition and positioned within the container volume and coplanar with the first and second surfaces; a first magnet positioned on a first surface of the container; a second magnet positioned on the second surface of the container; a first input conduit in fluid communication with the input port; and a first output conduit in fluid communication with the output port. In another embodiment, the hemofilter system includes a pump in the input conduit.

Abstract: A hemodialysis vascular access device includes a proximal end sized and shaped to sealably couple to a hemodialysis catheter, a movable structure coupled to the proximal end, a fixation structure coupled to the movable region and sized and shaped for fixation on a patient, an elongated sleeve coupled to the fixation structure and sized and shaped for insertion into a patient's vasculature, and a valve at a distal end of the internal lumen. When a hemodialysis catheter is inserted into the device and coupled to the proximal end, distal movement of the proximal end relative to the fixation structure biases a distal end of the hemodialysis catheter from a position inside the elongated sleeve through a valve out of the device and into the patient's blood.

Abstract: To administrate a liquid medication in an emergency situation, an injection kit includes a syringe assembly, a needle assembly, and a container. The container contains the syringe assembly and the needle assembly, and possessed and carried closely by a patient. When an immediate injection of the liquid medication to the patient is needed, the syringe assembly and the needle assembly are taken out from the container and assembled by the patient or a bystander.

Abstract: A pressure sensor for use with a fluid delivery system having good sensitivity at low pressure, but also configured to remain in operating condition after being exposed to high pressures is disclosed herein. In one variation, the pressure sensor includes a fluid path set, a deformable element associated with the fluid path set and configured to deform in response to an external pressure, and a pressure transducer for monitoring deformation of the deformable element. In certain embodiments, the pressure sensor is configured to measure fluid pressure within the range of between about 0 mm Hg to about 300 mm Hg. However, the sensor pressure is also be configured to remain functional after being exposed to pressure in excess of about 60,000 mm Hg.

Abstract: According to preferred embodiments and methods of the present disclosure, a medical injection system employs a single pump for the injection of multiple fluids, rather than employing a pump for each type of fluid, for example, like the prior art system described above. Embodiments of pumps disclosed herein preferably include a disposable pump cartridge configured to be contained within a hull of a medical injection system, wherein the hull may be formed when a pressure plate member is closed against a base plate; and, when the pressure plate member is opened with respect to the base plate, the disposable pump cartridge may be removed and replaced.

Abstract: An infusion pump operable with a syringe having a syringe barrel and a syringe plunger includes a housing having a compartment to receive the syringe and defining a wall, and a syringe clamp moveable towards and away from the wall, the syringe clamp contacting the syringe barrel; a drive mechanism supported and structured and arranged to contact and end of the syringe plunger so as to be able to move the syringe plunger within the syringe barrel; a syringe barrel size sensor including a magnet operably coupled to the syringe clamp, and a sensing member supported by the housing and configured to generate an output indicative of a magnetic field associated with the magnet; and software installed on the pump and programmed to use the output to determine a size of the syringe barrel received by the compartment.

Abstract: A medical infusion pump can be configured to sequentially inject solutions from multiple syringes. The medical infusion pump can be configured to automatically sequence the injection either by creating differential fluid pressures during injection or by employing a sequencer that creates differential forces on poppets which form seals between different input ports of the sequencer.

Abstract: A method and apparatus for a connection interface between a reservoir or syringe, infusion set tubing, and an infusion pump is provided. The reservoir, a base and a cap are connected to form an integrated unit that is capable of being inserted and secured in an infusion pump housing. The cap and the infusion pump are each provided with at least one sensor or at least one detectable feature, arranged to interact with at least one corresponding detectable feature or sensor on the other of the cap and infusion pump device, to detect one or more of the presence, position or other characteristic of the cap when the cap is aligned or coupled with the infusion pump housing. The detectable feature and sensor may be magnetic, RF, mechanical, optical or any combination.

Abstract: A method and apparatus for a connection interface between a reservoir or syringe, infusion set tubing, and an infusion pump is provided. The reservoir, a base and a cap are connected to form an integrated unit that is capable of being inserted and secured in an infusion pump housing. The cap and the infusion pump are each provided with at least one sensor or at least one detectable feature, arranged to interact with at least one corresponding detectable feature or sensor on the other of the cap and infusion pump device, to detect one or more of the presence, position or other characteristic of the cap when the cap is aligned or coupled with the infusion pump housing. The detectable feature and sensor may be magnetic, RF, mechanical, optical or any combination.

Abstract: A mechanical driver comprising a wedge shaped member operatively coupled to a shape memory alloy such that the shape memory alloy is able to displace the wedge shaped member in an essentially linear direction. The wedge shaped member is in constant contact with a lever arranged so that it can rotate about a fixed pivot point. A piston is arranged such that it is constant contact with the lever at a point between the pivot point of the lever and the contact point between the lever and the wedge shaped member. Return springs are provided to return the piston, lever and wedge shaped member to their respective start positions. Activation of the shape memory alloy displaces the wedge shaped member along its linear direction and this causes the lever to be deflected about its pivot point and the piston to be deflected in an essentially linear direction that is perpendicular to the linear direction of travel of the wedge shaped member.

Abstract: A pharmaceutical drug delivery system having a base (1) comprising at least two inlets (2), an outlet (20) and a passive mixing chamber (7) having micro pin fins (8) with heights in the range of 10 to 100???? characterized in that the base (1) is selectively coated with nanostructures which are made of a material different than the material of said base, such that the base (1) comprises a plurality of regions R1 to RN each having a different nanostructure coating intensity, and such that a surface tension gradient is established among regions R1 to RN for promoting fluid flow towards the outlet (20). The present invention further proposes a method for obtaining a pharmaceutical drug delivery system.

Abstract: A device, method, and system are provided for monitoring the delivery of fluids through a drip chamber. The device includes an electromagnetic radiation (EMR) source and an EMR detector. A device body is employed to position the source and detector about the drip chamber so that the source and detector define an optical path across the drip chamber. A processor device is employed to detect fluid drops from differences between detector signal values separated by a lag time. The flow rate is determined from a drip factor and the detection of multiple drops. In the context of delivering intravenous (IV) fluids, a battery powered handheld monitoring device that includes the source, detector, device body, and processor device may be affixed to a drip chamber included in an infusion set. The device includes a user interface, including buttons, a display, and an audio speaker, for the input and output of information.

Abstract: Apparatus are provided for infusion devices and related control systems and methods. In one embodiment, an infusion device includes a voided portion adapted to receive a shaft portion that includes a shaft coupled to a plunger of a reservoir. The shaft portion includes a detectable feature, and the infusion device includes a sensing arrangement proximate the voided portion to sense the detectable feature. In some embodiments, a control module is coupled to the sensing arrangement to determine a remaining amount of fluid in the reservoir based at least in part on the sensed position of the detectable feature. In other embodiments, the control module identifies an anomalous condition based at least in part on the sensed position of the detectable feature.

Abstract: A syringe assembly that is pre-filled with two compounds. The two compounds are kept separate and are only mixed immediately before the compounds are ejected from the syringe. The syringe assembly has a syringe barrel. The syringe barrel defines an internal chamber where the two compound mix prior to ejection. Only one of the compounds is packaged within the syringe barrel. The other compound is introduced into the syringe barrel from a separate reservoir that is disposed within the syringe plunger. The second compound is released by twisting a reservoir tube within the syringe plunger.

Abstract: Disclosed is an injection device (1280) for injecting a hypodermic syringe (1260) along an injection direction defining an injection axis. The injecting device comprises a housing (1281) for being positioned at the skin and a movable element (1282) movably arranged relative to the housing between a retracted position and an injection position. The movable element comprises a hypodermic syringe holder (1289) for holding a hypodermic syringe. Disclosed is further a protective cover (1200) for a needle, and methods for arranging a hypodermic syringe in an injection device.

Abstract: A drug delivery device includes a blunt cannula and a reservoir. The blunt cannula has a cylindrical wall that defines an axial passage between a first end and a second end of the blunt cannula. The wall has at least a first tapered region at the first end to define an opening in fluid communication with the axial passage and adapted at the first end to resist interruption of fluid flow through the axial passage and out of the first end of the blunt cannula.

Abstract: A system and method for accurately and reliably determining and recording the time, date and location where a medication is used, and a system and method for transmitting, collecting, and using that data to improve clinical care, disease management, and public health surveillance. The device allows information concerning drug usage, including the time, date and location of use, to be transmitted to a remote network computer system so that the data can be evaluated to determine current impairment and future risk, and to identify changes in the frequency, timing, or location of medication usage indicative of change in disease control or management, and to examine spatial, temporal or demographic patterns of medication use or absence of use among individuals and groups. In addition, the device may further be configured to transmit signals indicative of its status, condition or other results to the remote network computer system.

Abstract: The present invention provides a system for administering a therapeutic substance to a brain, for example a brain of a person afflicted by a neurodegenerative disorder. The system may include communicating with the person and locating it via a smartphone, characterizing the level of its alertness or cognitive abilities, and initiating the substance release via a vocal signal. The system enables to bypass the blood brain barrier while also reducing undesired systemic concentration peaks of the substance.

Abstract: An inhaler for inhaling medicament includes a body for retaining a medicament store and a dose counter. The dose counter has a moveable actuator and a chassis mounted on the body. The chassis is heat staked in position on the body.

Abstract: A nebulizer comprises a replaceable container with fluid to be nebulized. The container comprises an inseparable indicator device. The container and the indicator device are axially moved during nebulization and tensioning of the nebulizer. The indicator device controls locking of the nebulizer against further use if a predetermined number of uses has been reached or exceeded.

Abstract: A nebulizer and a container with a fluid for such a nebulizer are proposed. The container comprises an indicator device fixedly mounted on the bottom of the container. When a predetermined number of uses of the container (3) with the nebulizer (1) has been reached or exceeded, a signal element becomes visible on the indicator device. The indicator device stops further use of the container in a locked state when a predetermined number of uses has been reached or exceeded. Then, the nebulizer is partially opened and blocked against further use. After replacement of the container including the indicator device, the nebulizer can be used again.

Abstract: A nebulizer is proposed which receives a container with a fluid and an indicator device. The indicator device stops further use of the container in a locked state when a predetermined number of uses has been reached or exceeded. In the locked state, a locking device locks the nebulizer against rotation in a partially tensioned state and, thus, against further use. After replacement of the container including the indicator device, the nebulizer can be used again.

Abstract: Devices and methods for administering halotherapy are provided for treating respiratory or skin conditions. Variations include a portable devices as well as stationary devices suitable for administering therapy in permanent settings (e.g., in the home).

Abstract: A method of rebreathing for a human, comprising: breathing through a rebreathing device for up to 20 minutes at a time, repeated as needed; wherein said rebreathing device has a form of a) cylindrical form made by rolling a sheet of paper, and able to fit snugly over either the mouth or the nose of a human in need of rebreathing; b) cylindrical form made with a cardboard tube from a toilet paper roll; c) cylindrical form made with a cardboard tube from a paper towel roll; d) cylindrical form made from a washable, re-useable, solid tube and able to fit snugly over either the mouth or the nose; e) rectilinear form made from a paper bag made of absorbent paper, at least 5 inches long [=12.7 cm] for adults, that is modified by i) cutting or tearing horizontally to shorten the bag so the remaining bag is approximately 5 to 7 inches [12.7 to 17.8, cm] tall, and ii) folding over one corner of the rectangular bottom approximately 1 inch [=2.5 cm] and cutting or tearing it off to make a hole approximately 1.

Abstract: A system for monitoring an inspirable gas for delivery to a patient is disclosed that includes a branched breathing circuit having a first branch conduit and a second branch conduit. The first branch conduit is fluidly connected to a first gas source and the second branch conduit is fluidly connected to a second gas source, and the first and second branch conduits merge into a patient delivery conduit. The system includes a first flow sensor in the first branch conduit, a second flow sensor in the second branch conduit, and a third flow sensor in the patient delivery conduit. A control unit is electrically coupled to the first, second and third flow sensors. The control unit is configured to determine a blend of gas in the patient delivery circuit based on a measured flow from the third flow sensor and a measured flow from at least one of the first and second flow sensors. A method for monitoring an inspired gas concentration in a branched breathing circuit is also disclosed.

Abstract: Described are systems and methods for compensating long term sensitivity drift of catalytic type electrochemical gas sensors used in systems for delivering therapeutic nitric oxide (NO) gas to a patient by compensating for drift that may be specific to the sensors atypical use in systems for delivering therapeutic nitric oxide gas to a patient. In at least some instances, the long term sensitivity drift of catalytic type electrochemical gas sensors can be addressed using calibration schedules, which can factor in the absolute change in set dose of NO being delivered to the patient that can drive one or more baseline calibrations. The calibration schedules can be used reduce the amount of times the sensor goes offline. Systems and methods described may factor in in actions occurring at the delivery system and/or aspects of the surrounding environment, prior to performing a baseline calibration, and may postpone the calibration and/or rejected using the sensor's output for the calibration.

Abstract: The present invention is a dual lumen endobronchial tube provided with a flexible wall dividing a cylindrical main tube into two lumens, where the outside wall of the main tube is reinforced, preferably by metal wire but alternately by a sufficiently rigid polymer ribbing which will achieve a desired reduction necessary outside wall thickness. The achievement of a reduction in necessary wall thickness enables sufficient hydraulic cross sectional area so that each lumen is capable independently of providing adequate ventilation to a patient even while a ventilation lumen is partly occluded when the insertion end of a bronchoscope or tube is inserted into the adjacent lumen to examine or treat the other lung.

Abstract: A patient interface has a single loop headstrap and a mask for covering at least the nostrils of the user. The single loop headstrap extends from the mask at either end. A short length of supple conduit is coupled to the mask by a swivel or ball joint to allow rotation of the conduit relative to the mask through different angles and orientations.

Abstract: A disposable breathing circuit is adapted to be connected between a disposable face mask and a vacuum source for delivering fresh gas to the face mask and for scavenging waste gas exhaled from the face mask. The breathing circuit includes a fresh gas supply limb and an exhalation limb and a scavenging limb coupled to the exhalation limb. The scavenging limb includes a one-way valve to prevent re-breathing, a flexible flow-through reservoir bag used to store exhaled gas, and an output tube adapted to be coupled between the flow-through reservoir bag and the vacuum source.

Abstract: Described are systems and methods for compensating long term sensitivity drift of catalytic type electrochemical gas sensors used in systems for delivering therapeutic nitric oxide (NO) gas to a patient by compensating for drift that may be specific to the sensors atypical use in systems for delivering therapeutic nitric oxide gas to a patient. In at least some instances, the long term sensitivity drift of catalytic type electrochemical gas sensors can be addressed using calibration schedules, which can factor in the absolute change in set dose of NO being delivered to the patient that can drive one or more baseline calibrations. The calibration schedules can be used reduce the amount of times the sensor goes offline. Systems and methods described may factor in in actions occurring at the delivery system and/or aspects of the surrounding environment, prior to performing a baseline calibration, and may postpone the calibration and/or rejected using the sensor's output for the calibration.

Abstract: An electronic gas blender system includes a pressurized oxygen supply connected in-line to a first proportional valve, a first check valve and a first flow sensor by a first circuit of gas lines, a pressurized air supply connected in-line to a second proportional valve, a second check valve and a second flow sensor by a second circuit of gas lines, and a port disposed between the second check valve and the second flow sensor on the second circuit of gas lines for providing airflow access to a low pressure source. The port includes a plug configured to open and close the airflow access, and a control module is electrically coupled to the first proportional valve, the first flow sensor, the second proportional valve, and the second flow sensor. The electronic gas blender system can be used to blend two high pressure gas sources under dynamic control or one high pressure and one zero or low pressure gas flow source through a slave/master relationship.

Abstract: The present disclosure pertains to a system configured to amplify the pressure and/or flow rate of a pressurized flow of breathable gas by entraining oxygen gas and/or ambient air with an air amplifier and a venturi valve at or near a blending gas source, distally (e.g., remotely) from an interface appliance of a subject interface (e.g., away from the face of the subject) to reduce noise from the system heard by the subject. The system is configured to provide this pressure support and/or ventilation with oxygen therapy. The system is configured to deliver ventilatory and/or pressure support with oxygen therapy while decreasing output requirements of the blending gas source and/or pressure generator.

Abstract: In various arrangements, a nebulizer element of a nebulizer may be energized with a drive signal. A phase offset of the drive signal may be measured. A phase delta may be determined. The phase delta may indicate a difference between a target phase offset and the measured phase offset. The target phase offset may indicate a non-zero target phase difference between the voltage of the drive signal and the current of the drive signal. A frequency of the drive signal may be changed to decrease the phase delta.

Abstract: The invention relates to a humidifier configured to humidify an aerosol, the humidifier comprising a first water compartment (100) containing water used to humidify the aerosol; a second water compartment (300) containing water used to humidify the aerosol; an intermediate chamber (200) located between the first and the second water compartment (100, 300), the intermediate chamber (200) comprising an aerosol inlet (210) and an aerosol outlet (220) and providing first boundary surfaces of a passageway (230) through which the aerosol to be humidified passes; a first layer (10) permeable to water vapour and impermeable to liquid water, which is located between the first water compartment (100) and the intermediate chamber (200), wherein a section of the first layer provides a second boundary surface of the passageway; a second layer (20) permeable to water vapour and impermeable to liquid water, which is located between the second water compartment (300) and the intermediate chamber (200), wherein a section of t

Abstract: A computing device provides soothing output for a user. The computing device determines a type of soothing output that will soothe the user. The computing device provides the type of soothing output to the user. The computing device determines the level of distress of the user in response to the type of soothing output. The computing device modifies the first type of soothing output to a second type of soothing output if the level of distress meets or exceeds a threshold.

Abstract: Systems, devices, and methods for detaching an implantable device from a delivery system are disclosed herein. One aspect of the present technology, for example, is directed toward an elongated shaft having an inner polymer structure and an outer polymer structure disposed around the inner polymer structure, a braid positioned around at least a portion of the inner polymer structure and extending along at least a portion of the shaft, and a coil wound around at least a portion of the inner polymer structure. In some embodiments, at least a portion of one of the braid or the coil overlaps at least a portion of the other of the braid or coil, the outer polymer structure can be disposed in and around the braid and the coil, and the outer polymer structure can have a stiffness that decreases in a distal direction.

Abstract: In general, medical sheath systems that can employ retainer devices having a plurality of channels configured to retain a sheath assembly in one or more curved configurations are described. In one embodiment, a retainer device may releasably retain a curvable tube of the sheath assembly in any of multiple curved configurations that range, for example, in selectable increments between 0° to 180°.

Abstract: Systems, devices, and methods for detaching an implantable device from a delivery system are disclosed herein. One aspect of the present technology, for example, is directed toward an elongated shaft having an inner surface that defines a lumen that extends distally from the proximal portion to an opening at a distal terminus of a distal portion. In some embodiments the distal portion includes an inner polymer structure having a first portion and a second portion positioned distal of the first portion along the length of the inner polymer structure. The first portion can have a first stiffness and the second portion can have a second stiffness less than the first stiffness. The distal portion can further include an outer polymer structure disposed around the inner polymer structure and a coil wound around the inner polymer structure and disposed within the outer polymer structure.

Abstract: A catheter includes an inner layer, and a braid provided on an outer periphery of the inner layer. The braid includes a first wire and a second wire that are woven together. The catheter further includes a tip provided on a distal end of the inner layer and a distal end of the braid. A residual portion having a sharp shape formed at a distal end of the first wire when the first wire is cut is not left untreated, but is formed into a bulging portion.

Abstract: Drive systems and methods of use are disclosed herein for performing medical procedures on a patient. The drive systems include various handle types and triggers for controlling catheters and end effectors. The various handle types include a flexible handle and ambidextrous handles that can alter the handedness of the handle for particularized use. The handles drive articulation sections of the catheter and end effectors with various degrees of freedom, and include locks for holding the catheter and/or end effector in place. The catheter systems include structures for allowing degrees of freedom, such as notches, mechanical interlocks, and articulation joints. In addition, the catheters articulate via cables or fluids.

Abstract: A graphic for use with medical article securement systems, medical article securement systems comprising a graphic, and methods of using same. The graphic can include a representation of an anatomical feature, such that the graphic provides a visual cue for coupling the medical article securement system to a subject in a desired orientation relative to the subject. Medical article securement systems comprising a graphic can be configured to be coupled to the subject and further configured to secure at least a portion of a medical article. Methods can include coupling the medical article securement system to the subject according to the graphic.

Abstract: A port (1) for a catheter comprises: a housing (10) having at least two fixing holes (120, 20A, 120B); a cavity (140) arranged in the housing (10) for receiving a fluid; a membrane (13) attached to the housing (10) and arranged on an opening (102) of the housing (10) for sealing the opening (102) such that the cavity (140) is enclosed in the housing (10) in a fluid-tight manner; and a catheter (2) connected to the housing (10), the catheter (2) being in fluid connection with the cavity (140). In addition a yarn guide device (16) is arranged on the housing (10) in between the membrane (13) and the catheter (2), the yarn guide device (16) comprising a guide channel (161) formed in the housing (10) for receiving a yarn (3) for fixing the port (1) to an object and for guiding the yarn (3) in between the membrane (13) and the catheter (2).

Abstract: A guide wire includes an elongated core wire possessing a distal portion at which is located a reshaping portion that is configured to be reshaped. The reshaping portion includes a first material portion made of a first material and a second material portion which is made of a second material different than the first material. The first material portion is joined to the second material portion at a joint surface which extends in the longitudinal direction of the core wire.