Abstract: An infusion set comprises a base member (60), an introducer cap (64), and an infusion cap (54). The base member (60) preferably comprises a soft cannula (52) extending from a lower side (118) of the base member (60), and a port (62) on an upper side (92) thereof. The port (62) is configured to be in fluid communication with the cannula (52). The port (62) also comprises a septum (130) adapted to seal the port (62) against unwanted fluid flow. The introducer cap (64) is adapted to be mounted to the base member (60) and has a needle (66) adapted to extend through the septum (130) and said soft cannula (52) in an assembled position. The infusion cap (54) comprises a lumen (160) adapted to receive an elongate flexible tube (162). The infusion cap (54) also comprises a hard cannula (170) adapted to be inserted through the septum (130) and to place said soft cannula (52) in fluid communication with said lumen (160).

Abstract: A seal assembly adapted for use in conjunction with a trocar assembly includes a plurality of seal segments, each seal segment including a peripheral edge and a seam edge. Each seal segment further includes a first section and a second section with a vertical wall connecting the first section and the second section in such a way that the first section is displaced relative to the second section such that the first section of a first seal segment may be placed upon the second section of a second seal segment with the first sections of the first and second seal segments lying in the same plane and the second sections of the first and second seal segments lying in the same plane. The seal segments are assembled in an overlapping woven arrangement to provide a complete seal body without the need for a secondary seal.

Abstract: A surgical system comprises a tubular member (8), a surgical instrument (1) and a sealing assembly (23). The surgical instrument (1) is locatable within the tubular member (8), the tubular member having a distal end locatable at a surgical operation site which is supplied with pressurised gas, and a proximal end remote from the surgical operation site. The surgical instrument (1) has a distal end locatable at the surgical operation site. The sealing assembly (23) is provided at the proximal end of the tubular member (8) to seal the tubular member with respect to the proximal end portion of the surgical instrument (1) to prevent gas escaping from the surgical operation site through the proximal end of the tubular member. The sealing assembly (23) is constituted by a diaphragm (26) whose peripheral edge portions (26a) are fixed to the tubular member (8). The central portion (26b) of the diaphragm (26) is formed with a slit (27) through which the surgical instrument (1) passes.

Abstract: An infusion set comprises a base member (60), an introducer cap (64), and an infusion cap (54). The base member (60) preferably comprises a soft cannula (52) extending from a lower side (118) of the base member (60), and a port (62) on an upper side (92) thereof. The port (62) is configured to be in fluid communication with the cannula (52). The port (62) also comprises a septum (130) adapted to seal the port (62) against unwanted fluid flow. The introducer cap (64) is adapted to be mounted to the base member (60) and has a needle (66) adapted to extend through the septum (130) and said soft cannula (52) in an assembled position. The infusion cap (54) comprises a lumen (160) adapted to receive an elongate flexible tube (162). The infusion cap (54) also comprises a hard cannula (170) adapted to be inserted through the septum (130) and to place said soft cannula (52) in fluid communication with said lumen (160).

Abstract: An indwelling catheter set comprises a cannula housing. The cannula housing comprises: (a) a catheter disposed substantially in the axial direction and formed into a hollow body opened at its distal and proximal ends; and (b) a catheter hub comprising a through bore extending substantially in the axial direction for inserting the proximal portion of the catheter therethrough. The catheter is adhered or welded to the catheter hub.

Abstract: An infusion set comprises a base member (60), an introducer cap (64), and an infusion cap (54). The base member (60) preferably comprises a soft cannula (52) extending from a lower side (118) of the base member (60), and a port (62) on an upper side (92) thereof. The port (62) is configured to be in fluid communication with the cannula (52). The port (62) also comprises a septum (130) adapted to seal the port (62) against unwanted fluid flow. The introducer cap (64) is adapted to be mounted to the base member (60) and has a needle (66) adapted to extend through the septum (130) and said soft cannula (52) in an assembled position. The infusion cap (54) comprises a lumen (160) adapted to receive an elongate flexible tube (162). The infusion cap (54) also comprises a hard cannula (170) adapted to be inserted through the septum (130) and to place said soft cannula (52) in fluid communication with said lumen (160).

Abstract: An infusion set comprises a base member (60), an introducer cap (64), and an infusion cap (54). The base member (60) preferably comprises a soft cannula (52) extending from a lower side (118) of the base member (60), and a port (62) on an upper side (92) thereof. The port (62) is configured to be in fluid communication with the cannula (52). The port (62) also comprises a septum (130) adapted to seal the port (62) against unwanted fluid flow. The introducer cap (64) is adapted to be mounted to the base member (60) and has a needle (66) adapted to extend through the septum (130) and said soft cannula (52) in an assembled position. The infusion cap (54) comprises a lumen (160) adapted to receive an elongate flexible tube (162). The infusion cap (54) also comprises a hard cannula (170) adapted to be inserted through the septum (130) and to place said soft cannula (52) in fluid communication with said lumen (160).

Abstract: An infusion set comprises a base member, an introducer cap, and an infusion cap. The base member preferably comprises a soft cannula extending from a lower side of the base member, and a port on an upper side thereof. The port is configured to be in fluid communication with the cannula. The port also comprises a septum adapted to seal the port against unwanted fluid flow. The introducer cap is adapted to be mounted to the base member and has a needle adapted to extend through the septum and said soft cannula in an assembled position. The infusion cap comprises a lumen adapted to receive an elongate flexible tube. The infusion cap also comprises a hard cannula adapted to be inserted through the septum and to place said soft cannula in fluid communication with said lumen.

Abstract: An infusion set comprises a base member (60), an introducer cap (64), and an infusion cap (54). The base member (60) preferably comprises a soft cannula (52) extending from a lower side (118) of the base member (60), and a port (62) on an upper side (92) thereof. The port (62) is configured to be in fluid communication with the cannula (52). The port (62) also comprises a septum (130) adapted to seal the port (62) against unwanted fluid flow. The introducer cap (64) is adapted to be mounted to the base member (60) and has a needle (66) adapted to extend through the septum (130) and said soft cannula (52) in an assembled position. The infusion cap (54) comprises a lumen (160) adapted to receive an elongate flexible tube (162). The infusion cap (54) also comprises a hard cannula (170) adapted to be inserted through the septum (130) and to place said soft cannula (52) in fluid communication with said lumen (160).

Abstract: An infusion set comprises a base member (60), an introducer cap (64), and an infusion cap (54). The base member (60) preferably comprises a soft cannula (52) extending from a lower side (118) of the base member (60), and a port (62) on an upper side (92) thereof. The port (62) is configured to be in fluid communication with the cannula (52). The port (62) also comprises a septum (130) adapted to seal the port (62) against unwanted fluid flow. The introducer cap (64) is adapted to be mounted to the base member (60) and has a needle (66) adapted to extend through the septum (130) and said soft cannula (52) in an assembled position. The infusion cap (54) comprises a lumen (160) adapted to receive an elongate flexible tube (162). The infusion cap (54) also comprises a hard cannula (170) adapted to be inserted through the septum (130) and to place said soft cannula (52) in fluid communication with said lumen (160).

Abstract: A trocar is provided with a cannula and a housing and valve assembly disposed in the housing which forms a housing seal, and instrument seal, and in some cases a zero seal. A gel material is included in the valve and provides the valve with superior flotation properties for maintaining the instrument seal even when the instrument is moved off-axis. In order to accommodate movement of the gel material, voids can be formed within the valve housing and even within the gel material.

Abstract: An indwelling catheter has a hollow catheter body, a catheter tube fitted to a front end of the catheter body, an elastic valve fitted inside the catheter body, and a hollow plug slidably fitted inside the catheter body. The catheter tube, the elastic valve, and the plug are aligned in this order. A connector inserted from a proximal end of the catheter pushes the plug, and the plug presses the elastic valve open.

Abstract: A male adaptor is provided with a nose for penetrating into a housing of the female connector. A septum is disposed over the nose of the male adaptor to maintain a seal with the female connector during coupling and uncoupling. Upon coupling, the septum dilates to allow the nose to pass through. The female connector may have a septum that also dilates to allow penetration of the nose of the male adaptor. Alternatively, the septum of the female connector may be retractable under the force of the nose of the male adaptor.

Abstract: A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.

Abstract: The present invention is a percutaneous catheter assembly intended for long-term blood flow of several days, said assembly comprising generally three components: a catheter housing having three sections, each of preferably differing diameter, with a set of perforations in a distal section, an end cap for closing off a proximal end of the catheter housing during insertion, and a dilator having an outer diameter substantially the same size as the inner diameter of the smallest section of the catheter housing, the dilator being configured to pass radiopaque contrast through a first and second set of openings in the dilator and the perforations in the catheter housing. The present invention further comprises a method of percutaneous blood perfusion in which the catheter assembly is used without the need for an introducer sheath.

Abstract: A hemostasis valve for use in introducing an over-the-wire medical lead into a patient's vascular system comprises a housing with a passageway, the passageway including an elastomeric pierceable seal member interposed therein and a resilient, annular tip surrounding a distal end of the housing where the tip has a central opening that is sized to receive a tubular connector terminal at the proximal end of the medical lead for dripping the end of the lead and sealing the lead's tubular connector terminal in the passageway of the housing.

Abstract: An indwelling catheter set is provided with a catheter, a cover connected with a proximal end of the catheter and a connector having a hemostatic valve housed therein. The connector is fixed to the cover. A hollow needle for transfusion to a patient is slidably fitted to an inside of the catheter.

Abstract: A method and related device for performing sterile medical procedures are disclosed. The method and related device are capable of accessing a sterile environment from a non-sterile environment to perform a medical procedure within the sterile environment. The method and related device can achieve a sterile technique during endoluminal procedures and in uncontrolled and unsterile environments. The device includes an inner hollow member moveably disposed within an outer hollow member. The outer hollow member is adapted to penetrate a boundary separating non-sterile and sterile environments and the inner hollow member is adapted to extend past the outer hollow member and into the sterile environment. A fluid compartment is adapted to be in selective fluid communication with the outer tube such that when the inner member extends past the outer member and into the sterile environment, fluid enters the outer member and the boundary.

Abstract: A trocar for performing a procedure on a patient. The trocar includes a hollow cannula having a distal end and a proximal end, and a housing having a distal end attached to the proximal end of the cannula and a proximal end having a wall attached thereto. The wall has an aperture therethrough. The trocar further includes a first seal attached to the housing for sealing around instruments passing through the aperture. The seal is an elastomeric member having an opening therethrough. The elastomeric member has metal reinforcing members disposed therein which are preferably made from a superelastic material such as Nitinol.

Abstract: A trocar is provided with a cannula and a housing and valve assembly disposed in the housing which forms a housing seal, and instrument seal, and in some cases a zero seal. A gel material is included in the valve and provides the valve with superior flotation properties for maintaining the instrument seal even when the instrument is moved off-axis. In order to accommodate movement of the gel material, voids can be formed within the valve housing and even within the gel material.

Abstract: A vascular interventional device may be introduced over a guidewire into a vessel of the cardiovascular system of a patient. This device includes a hollow, flexible tube having a proximal end and a distal end that is adapted to selectively engage a target vessel of the cardiovascular system of the patient. This tube also includes a lumen that is continuous from the proximal to the distal end, and has an end hole in the distal end that is in fluid communication with the lumen. The device also includes a hollow vessel dilator that is adapted for insertion into and through the tube and over the guidewire. The dilator has an inside diameter that is slightly larger than the guidewire and an outside diameter that is slightly smaller than the diameter of the lumen of the tube. The distal end of the dilator is adapted to accommodate vascular entry over the guidewire, and the dilator is adapted to dilate the vessel to accept the tube. The device also includes a hub at the proximal end of the tube.

Abstract: Disclosed is an injection needle unit for a portable automatic syringe device adapted to perform an injection of liquid medicine into the body of a user for a prolonged time.

Abstract: A flash chamber having a self-closing valve for use with a catheter is described. The flash chamber, which is connected to the catheter, precludes blood leakage as a needle is removed from the catheter and an IV unit is coupled to the catheter. The flash chamber permits the practitioner to visually verify that a blood vessel has been punctured and includes a self-sealing valve that prevents blood from flowing out of the flash chamber as the needle is removed and the IV unit is attached.

Abstract: The catheter and introducer needle assembly of this invention includes a catheter adapter at its proximal end having a hollow septum disposed therein. The septum preferably is hollow to minimize drag as the introducer needle is removed therefrom. If desired a gel or lubricious material may be disposed in the cavity.

Abstract: Apparatuses and methods for a connection interface between a reservoir or syringe, infusion set tubing, and an infusion pump are provided. A base is provided which is adapted to receive a reservoir and engage a cap. A piercing member, such as a needle, is disposed in the interior of the cap in such a manner that the needle is separated from the reservoir septum when the base is in a first detent position, and the needle pierces a reservoir septum when the base is in a second detent position. When the reservoir, the base and the cap are connected to form an integrated unit, this unit is then capable of being inserted and secured in the infusion pump housing. In some embodiments, an integral connector couples directly to the reservoir.

Abstract: A device for preventing fluid flow out of a patient when a medical component is withdrawn from a catheter connected to the patient. The device includes a tubular hub and a clamp slidably mounted on the hub. A clamp arm is normally biased into a position in which it squeezes the cannula to prevent flow therethrough. The arm is either self biased or urged into closed position by a resilient element. Connecting the upstream end of the hub to the medical component produces relative movement between the hub and the clamp that causes cam surfaces on those members to bias the clamp arms into an open position that permits fluid flow through the cannula.

Abstract: The present invention provides for a system for treating migraine headaches including an administering mechanism for administering a medication composition, a rectal adapting mechanism operatively connected to the administering mechanism for insertion through an anus and into a rectum of a patient, and a medication composition contained within the administering mechanism. The present invention also provides for a medicine suppository including a medication composition having an effective amount of valproate for the treatment of a migraine headache. Furthermore, the present invention provides for a kit including the system of the present invention. Finally, the present invention provides for a method of treatment of a migraine by rectal administration of an effective amount of a medication composition.

Abstract: A cannula valve arrangement made from a suitably resilient polymeric material including a body (10) having a substantially cylindrical cavity (16) for receiving a medical apparatus hub (32, 34) and a sleeve (14) having a bore (18) for receiving a cannula (28), which is open into the body cavity. A zone (20) of the body wall which defines the cavity (16) is convexly bulged from the body (10) and is adapted to snap from its convex shape into a concave shape in the body cavity (16) when pressed over-center into the body to close the bore (18) of the sleeve (14) to the cavity until again moved outwardly from the cavity (16).

Abstract: A cannula lock useful for attachment to a cannula for administration of intravenous fluids to patients. The lock has dual access ports, each closed with a self-healing elastomeric material which can be pierced to introduce fluids into the lock. Having dual openings means one opening can be used for normal saline flushes, and another for injection of medicament fluid. In this way, the lock will last longer and can be more conveniently used at each administration.

Abstract: A valve is included as part of a medical appliance used to transport an artificial blood vessel into a body through a catheter. The valve is formed by a membrane having a plurality of holes which are normally closed and which can be pushed to open against elasticity of the membrane to permit a plurality of devices used to transport the artificial blood vessel to be passed through the holes in parallel with each other. In a preferred embodiment, a hole is provided at the center of the membrane and three other holes are equi-spaced from the center hole; equal spaces are also provided between adjacent ones of the three holes. A relatively thick embankment or projecting portion is preferably provided extending between every pair of adjacent holes, to avoid breakage of the membrane therebetween upon parallel insertion of devices through the holes.

Abstract: The catheter includes a catheter hub at its proximal end having a radially extending wing. The needle is connected at its proximal end to a needle hub. The needle may have at least one notch therein. The needle hub defines a radially extending fin thereon. When the introducer needle is inserted through the catheter such that the distal tip of the needle extends beyond the distal tip of the catheter, the fin on the needle hub extends beyond the distal end of the wing on the catheter hub. This arrangement allows the distal tip of the needle to be retracted into the catheter with a simple proximal motion by the healthcare worker.

Abstract: The present invention is directed to an apparatus for use in internal surgical procedures and is particularly advantageous for use in laparoscopic surgical procedures. An example implementation is directed to a tool having a depth-adjustable cannula having an upper portion that rests on the body, and having an automatically-sealing channel that readily accepts the insertion and removal of surgical instruments without permitting gases to pass. In one particular embodiment, the tool includes a low-profile platform for stabilizing the tool on a body layer, a projection channel with a flexible sleeve for maintaining the channel closed, and an adjustable member for setting the penetration depth of the tool. The flexible sleeve is sufficiently elastic to close the inner channel in response to pressurization between the outside of the flexible sleeve and the inner surface of the hollow channel. The low-profile platform and the adjustable member permit use of the same tool for different body-wall thicknesses.

Abstract: The invention provides highly adaptable valves for providing hemostasis about minimally invasive surgical implements such as guidewires and endovascular prosthetic delivery catheters. The valves generally comprise an elastomeric sealing body which will maintain hemostasis by contacting a surgical implement traversing the valve over a very small contact area. Preferably, the orifice is formed in a thin membrane which extends radially inward from a torroidal balloon having a relatively rigid outer rim and a flexible inner portion. When a vacuum is applied within such a balloon, the flexible inner portion pulls the membrane radially outward to expand the orifice diameter. A positive pressure can be applied within the torroidal balloon so that the balloon expands radially inward to block access through the valve.

Abstract: A pair of generally semicircular, passage blocking valves (33b) that are made of an elastic material are provided in such a way as to block the passage leading to the inlet of a channel 4 of an endoscope and in such a state that the diameters (33c) of the two blocking valves abut to interfere with each other and that the abutting surfaces of the two blocking valves (33b) are closed in a normal state but are spread apart elastically by the insertion of a treatment tool.

Abstract: A vascular interventional device may be introduced over a guidewire into a vessel of the cardiovascular system of a patient. This device includes a hollow, flexible tube having a proximal end and a distal end that is adapted to selectively engage a target vessel of the cardiovascular system of the patient. This tube also includes a lumen that is continuous from the proximal to the distal end, and has an end hole in the distal end that is in fluid communication with the lumen. A plurality of side holes are provided near the distal end of the tube, each of which is in continuous fluid communication with the lumen. The device also includes a hollow vessel dilator that is adapted for insertion into and through the tube and over the guidewire. The dilator has an inside diameter that is slightly larger than the guidewire and an outside diameter that is slightly smaller than the diameter of the lumen of the tube.

Abstract: A blood seal having a spring-biased septum is provided for preventing the leakage of blood during the placement and use of vascular catheters and similar devices. The structure of the blood seal includes a housing with an internal channel. A spring-biased septum is placed securely within the channel such that it substantially blocks blood flow through the channel. The spring-biased septum includes an elastic plug having a pre-slit or pre-molded hole and a biasing element disposed about the elastic plug. A needle or other object may be withdrawn through the slit or hole, after which the biasing element forces the hole closed, preventing blood leakage.

Abstract: A needle has a blunted tip and a recessed orifice to avoid unintentional needle sticks and user contact with inoculum contained in the needle. A diaphragm is designed for use with the relatively blunt tip needle so that the needle easily penetrates the diaphragm at a force substantially lower than the force required to puncture skin, preferably at most 50% of the force required to puncture skin.

Abstract: In a fluid sampling system, a pre-slit injection site includes a housing with a flow path therethrough. A first end of the housing carries a pre-slit septum. One form of a blunt cannula, usable with the injection site, carries a locking member. When the pre-slit injection site slidably receives the blunt cannula, the locking member latches to the injection site and creates a mechanically coupled unit. Another form of the cannula includes an elongated member having a tapered distal end region and a substantially cylindrical sheath surrounding the elongated member to protect it from inadvertent touch contamination. The sheath may include means defining at least two slots opposite one another at its distal end and the sheath may be outwardly tapered.

Abstract: A trocar adapted to extend across the body wall into a body cavity, forming a seal around an instrument inserted through the trocar, comprises a cannula having a first axis extending between proximal and distal ends. A valve housing attached to the proximal end of the cannula forms a working channel with the cannula and includes a rigid housing portion and a flexible housing portion. First and second septum valves are formed in an end wall of the flexible housing portion and form separate valve sets with associated zero closure valves disposed within the valve housing. The valve sets are sized and configured accommodating different ranges of instrument diameters. The first and second septum valves are offset from the axis of the cannula in normal positions but are movable to positions more aligned with the axis of the cannula, due to elastomeric characteristics of the flexible housing.