Abstract: Cut-pattern designs creating a frame structure from a solid tube, which may be used as a portion of medical device, such as a catheter. The tube includes a plurality of units of cutout segments which are distributed in band around a circumference of the tube. A tube can have multiple different zones, each having units with varying cutout segments. The cutout segments can have varying cutout surface area allowing the flexibility of the tube to be modified at any point along the tube by altering the cutout surface area with zones having greater cutout surface areas as compared to another zone are more flexible. The tube can be incorporated into a catheter.

Abstract: An enhanced tubular sleeve for handling a urinary catheter including a number of features that render usage of urinary catheters much easier and reduce discomfort. The sleeve may be formed of bonded sheets of flexible material having rounded distal ends. Or, the sheets may only be bonded in a proximal portion with their distal portions left unattached. In still another version the distal end of one sheet terminates shorter than the distal end of the other sheet.

Abstract: Guide extension catheters and related methods are disclosed. A guide extension catheter can comprise an elongate tube member and a lumenless push member. The push member can be eccentrically coupled to the tube member for slidably positioning the tube member within and partially beyond a distal end of a guide catheter. At least a proximal end portion of the push member can include a cross-section defined by an arcuate first surface and an opposing second surface. The first surface can engage an inner wall surface of the guide catheter along an arc length, and the second surface can be spaced furthest from the first surface at its center point. The first surface can have the same or substantially the same radius of curvature as the guide catheter's inner wall surface, and the second surface can be flat or substantially flat. This configuration of the push member can provide an advantageous blend of stiffness and flexibility, as well as space conservation through the guide catheter.

Abstract: A trocar assembly includes a trocar housing that defines a working chamber, and a cannula having a proximal end and a distal end, wherein the cannula is coupled to the trocar housing at the proximal end to facilitate communication between the cannula and the working chamber. A plurality of radial support members are arranged at or near the distal end and comprise a plurality of keystones arranged side by side to form a ring within the cannula. Each radial support member extends radially inward toward a centerline of the cannula to center a surgical tool within the cannula and thereby minimize unintended oscillation and vibration of the surgical tool.

Abstract: A tissue specimen retrieval device includes first and second shafts telescopically movable relative to one another. The second shaft supports an end effector that is movable relative to the first shaft between a retracted position, wherein the end effector is disposed within the first shaft, and a deployed position, wherein the end effector extends distally from the first shaft in an expanded configuration. The end effector includes a bag brim having first and second ends that operably engage the distal end of the second shaft. The bag brim is transitionable from a first collapsed configuration for disposition within the first shaft to an expanded, configuration upon deployment from the first shaft. The bag brim includes a spring assembly disposed between the first and second ends thereof that is configured to facilitate automatic expansion of the bag brim to the expanded configuration upon deployment thereof from within the first shaft.

Abstract: The invention relates to a connector (1) for connecting a catheter (2) to a fluid transfer system comprising a main body (11) with a tubular pin (111) adapted to be inserted into an end portion (21) of the catheter (2) such as to provide a fluid connection between the catheter (2) and the tubular pin (111). The connector (1) is characterized in that a fixing means (12) is movably connected to the main body (11), wherein the fixing means (11) is adapted to fix the catheter (2) to the connector (1) when the fixing means (12) is in a fixing position.

Abstract: Glaucoma treatment devices are disclosed. In various example, the glaucoma treatment devices include a body and a fluid conduit that are configured to help facilitate evacuation of fluid from a fluid-filled body cavity, and reabsorption of the evacuated aqueous humor by the body through tissue surrounding the glaucoma treatment device. In some examples, the glaucoma treatment device is configured such that a flow resistance through the fluid conduit can be modified post-operatively one or more times.

Abstract: A catheter system may include a needle assembly coupled to a catheter adapter. The needle assembly may include a housing, an introducer needle, a proximal opening, a distal opening, and a needle tip shield feature. A distal tip of the introducer needle may be configured to be proximally withdrawn from a first position to a second position in which a bump feature of the introducer needle contacts and is prevented from moving through the proximal opening. In response to withdrawal of the distal tip proximally from the second position to a third position, the housing may move proximally, and the needle tip shield feature may be released to block the distal opening. The needle tip shield feature may not contact the introducer needle when the distal tip moves proximally from the first position to the second position and from the second position to the third position, which may reduce a friction-based drag force on the introducer needle.

Abstract: A needle set includes a needle guard and a winged needle. The needle guard has upper and lower jaws, each of the upper and lower jaws defining a channel and coming together at a hinge. The upper and lower jaws are separated by slots in sides of the needle guard, which slots divide the sides into upper and lower side walls, respectively. The winged needle can be inserted between the upper and lower jaws, with wings of the winged needle passing through the slots. The hinge has an opening and a tube connected to the winged needle passes through the opening.

Abstract: Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, engaging an interventional device of a catheter system with clot material in a blood vessel and withdrawing the interventional device and the portion of the clot material through a guide catheter. In some embodiments, the catheter system can include an attachment/valve member coupled to a proximal portion of the guide catheter, and the method can include unsealing the attachment/valve member to facilitate withdrawing the interventional device through the attachment/valve member without significant retention of clot material within the attachment/valve member. The method can further include resealing and aspirating the guide catheter before advancing another interventional device to the clot material to again engage and remove clot material from the blood vessel.

Abstract: An endovascular prosthesis delivery system comprising: a guide wire catheter; a nose cone dilator at the proximal end of the guide wire catheter; and a pusher catheter comprising a lumen configured to receive the guide wire catheter therethrough and at least one longitudinal auxiliary lumens configured to receive an auxiliary catheter. The pusher catheter may have recess in the guide wire lumen. The recess may be configured to receive a portion of the nose cone dilator when the guide wire catheter is withdrawn distally.

Abstract: An enhanced tubular sleeve for handling a urinary catheter including a number of features that render usage of urinary catheters much easier and reduce discomfort. The sleeve may be formed of bonded sheets of flexible material having rounded distal ends. Or, the sheets may only be bonded in a proximal portion with their distal portions left unattached. In still another version the distal end of one sheet terminates shorter than the distal end of the other sheet.

Abstract: A tray (100) for accommodating a coiled medical device, such as a catheter assembly (700), includes a first compartment (101), a second compartment (102), and a third compartment (103). The catheter assembly (700) and devices associated with a catheterization procedure, such as syringes (701,702) containing sterile water and lubricating jelly and a specimen container (703) can be disposed within the tray. Printed instructions (1001) can be included with the tray (100). One or more layers of wrap material (2200) can be folded about the tray (100) to enclose the tray (100) and other items, such as an additional layer of wrap material (2701), packaged liquid hand sanitizer (2401), and packaged gloves (2402). When a health care services provider (3101) unfolds the wrap material, the same can be used to create a sterile field beneath a patient (3201).

Abstract: Some illustrative embodiments of a dressing for treating a tissue site may include a fluid hub, a plurality of elongate fluid members, and a separable joint. The plurality of elongate fluid members may be positioned in fluid communication with the fluid hub. Each of the plurality of elongate fluid members may include a proximal end, a distal end, and an elongate side between the proximal end and the distal end. The elongate side of the elongate fluid members may extend longitudinally outward from the fluid hub. The separable joint may be coupled between the elongate side of one of the plurality of elongate fluid members and the elongate side of another of the plurality of elongate fluid members. Other dressings, systems, and methods are disclosed.

Abstract: A tissue specimen retrieval device includes an end effector assembly including first and second arms including respective first and second proximal segments and respective first and second distal segments. The first and second distal segments each include first and second end portions. First and second joints operable couple the first and second end portions of the first and second distal segments, respectively. A third joint operably couples the first proximal and first distal segments and a fourth joint operably couples the second proximal and distal segments. The first and second distal segments are movable relative to one another about the first and second joints. The first and second distal segments are movable relative to the first and second proximal segments about the third and fourth joints.

Abstract: A needle assembly. The needle assembly enabling the analysis of fluid trapped in a flashback chamber after an insertion needle has been inserted into a patient's vein.

Abstract: A balloon catheter and balloon system particularly useful with drug-coated balloons is described. In some embodiments, the balloon catheter system includes various features designed to address problems with drug rubbing off due to contract friction during delivery of the balloon—including by utilizing a protective sleeve to shield the drug-coated balloon. In some embodiments, the balloon catheter system includes an inner high-pressure balloon and an outer drug-coated balloon to mitigate the time associated with performing vessel dilation.

Abstract: A urinary catheter assembly having a sleeve is provided. The urinary catheter assembly comprises a urinary catheter (2) having a hydrophilic surface; the urinary catheter being provided with an insertion tip (5) in a proximal insertion end of the urinary catheter and an outlet (4) at a distal end of the urinary catheter, a handle (8) being slidingly disposed on the urinary catheter, a collapsible, flexible sleeve (7) attached to the handle and being configured to cover the urinary catheter from the outlet to the tip portion in an extended configuration of the urinary catheter assembly, the sleeve being attached to a connector (9) at the outlet, the connector and handle configured to be detachably attached to each other and define a cavity provided by the sleeve, handle and connector encapsulating an entirety of the urinary catheter in a storage condition.

Abstract: Assemblies and methods for capturing a guidewire advanced through a blood vessel in a retrograde direction are disclosed. An assembly can include a constraining catheter and a capture catheter. The constraining catheter can include a first longitudinal member and a tubular member; the tubular member can be eccentrically coupled with a distal end portion of the first longitudinal member. The capture catheter can include a second longitudinal member and a funnel member; the funnel member can be eccentrically coupled with a distal end portion of the second longitudinal member. The funnel member can be moved between a collapsed configuration and an expanded configuration through relative movement between the first and second longitudinal members. In the collapsed configuration, at least a portion of the funnel member is disposed within a lumen of the tubular member. In the expanded configuration, the portion of the funnel member projects from an end of the tubular member.

Abstract: A device facilitating removal of tissue includes a sheath and a deployable assembly deployable from the sheath. The deployable assembly includes a funnel, a proximal apex portion, a distal base portion, and a plurality of guards. Each guard defines a fixed end attached to a portion of an annular perimeter of the distal base portion of the funnel by a living hinge. In the deployed condition of the deployable assembly, the guards are disposed in a presented condition wherein the guards extend radially inwardly from the annular perimeter of the distal base portion of the funnel in overlapping relation relative to one another such that the guards extend across the distal base portion of the funnel to enclose an interior of the funnel. A containment bag for sealingly encapsulating the funnel therein is also provided as part of a system with the device. Methods of use are provided as well.

Abstract: A guide catheter is described for introduction into a patient's vasculature, to provide a substantially continuous guide lumen within the vasculature to the ascending aorta, through which one or more other functional catheters may be introduced and removed during the procedure. The guide catheter includes an aligner at its distal region for aligning the position and/or inclination of the distal region of the guide catheter with respect to the ascending aorta. The aligner includes an embolic protection filter. The guide catheter is made of material collapsible/distensible in cross section to adopt a small shape when no catheter is present inside, and to distend to a large shape to accommodate passage of functional catheter therethrough. The cross-section shape collapses/distends by folding/unfolding of material without elastic stretching of the material.

Abstract: A system for dilating the sinus ostia with a device including a series of elongated members, each having a central channel and increasing outer diameters where the members are positioned one over the other such that the members are advanced to incrementally dilate the sinus ostia. The central channels of each member allow for various procedures to be performed including, for example, the application of wireless energy (e.g., ultrasonic, RF, etc.) to the sinus ostia, the introduction of an irrigating fluid and aspiration from the sinus ostia, and the introduction of a drug to the sinus ostia.

Abstract: A tissue specimen retrieval device includes a housing having an outer shaft that extends distally therefrom and that defines a longitudinal axis. An end effector assembly is included that extends distally from the outer shaft in a deployed position of the end effector assembly. A first actuator is operably associated with the housing and actuatable to deploy and retract the end effector assembly. A second actuator is operably associated with the housing and actuatable to move a four-bar articulation mechanism including first, second and third movable links and a stationary link coupled together by respective first, second and third pivots. Actuation of the second actuator moves the first link distally which forces the second and third links to rotate in opposing directions about the first and second pivots which, in turn, forces at least one of the first or second links against the end effector assembly to articulate the same.

Abstract: A therapeutic bandage/dressing/covering for use with a human penis fitted with a catheter that extends from a human's bladder through, and beyond the opening from the penis glans, is placed over the distal end of the penis, including the glans, and onto the surface of the catheter where the catheter protrudes from the glans. The covering surface that lies against the skin of the penis, penis glans, and the distal opening in the penis, may be padded, flexible or, rigid, and, optionally, medicated and/or lubricated, to minimize skin abrasion and promote cleanliness/sterility of the glans, the contiguous penis shaft, and other delicate penile tissues.

Abstract: An artificial pneumoperitoneum bag device may include an inflatable bag having an opening at an end of the bag. The bag device may also include an indicator including at least one repeating pattern on a wall of the bag. The pattern may extend across at least one side of the bag.

Abstract: An introducer needle assembly including a compressible section between the rigid needle and the hub. Once the vessel is entered as determined by blood entering the syringe, the compressible section of the introducer needle is occluded by compressing the section with the thumb and a finger. Neither blood nor air can pass. Since the compressible section is in a flattened area it is easier to hold the needle while the syringe is unscrewed. The operator then can begin threading a guidewire down the device which is now easier to enter because blood is not coming out of the hub thus obscuring the lumen.

Abstract: A device includes a stent scaffold structure supporting a patch on an interior surface thereof. The device may be used to produce a neovalve in a percutaneous minimally invasive manner. Exemplary methods include implanting the device, permitting a growth layer to form over at least a portion of the patch, and separating the patch from the stent scaffold thereby forming a slit or gap in the vessel wall to act as a valve similar to the surgical neovalve.

Abstract: An efficiently packaged ready to use intermittent urinary catheter. The catheter is retained within a retention chamber having a profile that mimics the profile of the catheter by sealing the upper and a lower films together along a peripheral seal line. The retention chamber includes an enlarged compartment intermediate axial ends of the catheter in which lubricant is stored.

Abstract: The invention relates to a catheter puncturing device for treating a patient during a medical treatment, said device structurally simplifying the placement of a catheter and reducing the number of required individual components of a catheter puncturing device. This is achieved by a catheter puncturing device according to the invention, said device being a closed single-piece system in which all the components required for the puncturing process are combined and provided in a housing. At the same time, the device allows the catheter to be released from the catheter puncturing device and to be uncovered using a handle after the catheter has been successfully introduced into the punctured vessel.

Abstract: A urinary catheter system includes a catheter, a sheath, an enclosure and a plug. The catheter has distal and proximal ends. The sheath is slidable along the catheter between first and second positions. The enclosure encloses a majority of the catheter and includes a bottom member, a top member, an outer peripheral wall defining an outer hole to allow advancement of the distal end, and an inner peripheral wall defining an inner hole, where the catheter is extendable through the inner hole. Rotating the top or bottom member relative to the other member causes the catheter to wind within the enclosure. The plug can seal the proximal end to block liquid flow, and a user can disengage the plug to allow liquid flow.

Abstract: Disclosed is an NGT system, the system comprises a nasogastric tube having a diameter and length configured to pass through an esophagus such that the lumen of the NGT maintains fluid communication with a portion of the digestive tract, and a digestive tract sensor operatively associated with the NGT, the digestive tract sensor configured to sense from inside the body and transmit signals in response to one or both of conditions relating to nourishment states of the digestive tract, and positioning of the NGT.

Abstract: The introducer sheath can be loaded onto a vasoocclusive device after removal of the vasoocclusive device from a microcatheter, to permit the vasoocclusive embolic coil assembly to be used again during a clinical procedure. The sheath includes a hollow, elongated tubular member with a longitudinal slot formed in the upper wall of the elongated tubular member and extending along the length of elongated tubular member. The upper wall of the elongated tubular member adjacent to the slot has an angled configuration to accept the vasoocclusive device. The sheath may include wing members extending outwardly from the angled configuration on the outside surface of the hollow, elongated tubular member to facilitate insertion of the vasoocclusive device into the sheath. The elongated tubular member may also consist of a segment with no slot attached to a flexible pusher member to facilitate initiation of loading of the vasoocclusive device into the sheath.

Abstract: Devices and methods for protecting an internal channel of a subject are disclosed. In one example embodiment, a device for protecting an internal channel of a subject includes a first end portion having a first diameter and defining a first opening, and a second end portion opposite the first end portion having a second diameter and defining a second opening that is in communication with the first opening. A body portion is defined between the first end portion and second end portion. The body portion defines an interior passage between the first opening and second opening, and is expandable along a longitudinal axis from a collapsed state to an expanded state.

Abstract: An apparatus is disclosed. The apparatus includes a catheter guide (10, 10?, 10?, 10??, 10??). The catheter guide (10, 10?, 10?, 10??, 10??) includes a first conduit (12, 12?, 12?, 12?? 12??) a second conduit (14 14? 14? 14?? 14??) and a shield member (16 16? 16?, 16??, 16??). The second conduit (14, 14?, 14?, 14??, 14??) is connected to an outer surface (26, 26?, 26?, 26??, 26??) of the first conduit (12, 12?, 12?, 12??, 12??).

Abstract: A catheter cartridge assembly includes a cartridge and a catheter member. The cartridge has a cartridge housing with proximal and distal ends. A pre-loaded tip and a protective sleeve associated with the pre-loaded tip are at least partially positioned within the cartridge housing. The catheter member has a proximal end configured to be advanced proximally into and through the cartridge housing to engage a distal end of the pre-loaded tip for proximal advancement out of the proximal end of the cartridge housing with the pre-loaded tip, with the protective sleeve covering at least a portion of the catheter member.

Abstract: A method in which a tube assembly is configured to be used in conjunction with an electromagnetic tube assembly guidance system. The tube assembly includes a first connector, a feeding tube connected to the first connector, a second connector connected to the feeding tube, and a suctioning tube connected to the second connector. The suctioning tube is configured to receive the feeding tube. The feeding tube is configured to allow enteral feeding while the suctioning tube is configured to allow suctioning or decompression of a patient's stomach.

Abstract: A medical device includes an elongate single-wire memory-metal body with a complete length that includes a proximal stylet length, an intermediate self-coiling stylet length, and a distal stylet length that is generally straight and non-self-coiling. The moment of force of the self-coiling stylet length is less than the moment of force of the medical endoscopy needle that is resistant to the stylet's self-coiling force. The device may further include being incorporated into an endoscopy needle system where the single-wire stylet body is disposed through a lumen of a medical endoscopy needle.

Abstract: The present invention relates to a device and a method for capturing a guidewire being progressed along the lumen of a bodily duct and to direct it into a catheter. In one aspect a catheter-based eccentric cone capture structure is used to engage and direct a guidewire oppositely approaching the capture structure.

Abstract: The present invention includes an apparatus for gripping a catheter and methods employing it. The catheter grip can be configured to surround a shaft of a catheter and allow a person to manipulate the catheter without the person touching the insertable length of the catheter. The method includes grasping the gripping apparatus for removing the catheter from its package and for inserting the catheter into an urethra.

Abstract: A delivery device usable to deliver an inverting implant is provided that includes a positioning mechanism that automatically initiates the inversion process once a predetermined length of the implant has exited a delivery catheter. The positioning mechanism allows the implant to be safely and accurately deployed with reduced operator experience and in a greater variety of target locations.

Abstract: Drug eluting vascular closure devices and methods for closing a blood vessel puncture site disposed at a distal end of a tissue tract are described. The devices and methods rely on a combination of the body's own natural mechanism to achieve hemostasis with chemical and/or biological agents to accelerate the hemostatic process. One method includes the steps of introducing a closure device through the tissue tract and deploying an expansible member at a distal end of the device within the blood vessel to occlude the puncture site. A chemical and/or biological sealing member disposed proximal the expansible member is then displaced so as to expose a chemical and/or biological region or release region of the device. At least one chemical and/or biological agent is thereafter released from the device and into the tissue tract to accelerate the occlusion process in the tract.

Abstract: An apparatus having a tube section and an expanded end. The tube section is flexible while the end section is rigid. The apparatus has a central bore, large enough to loosely receive an endoscope tube, and the end section has two peripheral bores which communicate with the central bore. There is a collar around the central bore which allows formation of air- and water-tight seal with the head of an endoscope. The tube may be fenestrated at its proximal end and may include medial pleats. This apparatus is mainly used by: sliding an endoscope into the central bore until the endoscope head forms an air- and water-tight seal with the central bore; connecting a lavage tube to one peripheral bore and a vacuum tube to the other peripheral bore; inserting the endoscope and the apparatus into a GI tract; and manually controlling the apparatus to apply lavage and vacuum.

Abstract: An insertion assisting tool for an endoscope into which an insertion section of the endoscope is inserted from a base end portion side. The insertion assisting tool may include a fluid sealing device which seals a space between a base end part of the insertion assisting tool and the endoscope insertion section, the space being formed while the insertion section of the endoscope is inserted into the base end portion side.

Abstract: A device for removing tissue by means of laparoscopy or thoracoscopy with an operating part and an optionally partially open hollow tube with a guide for operating a removing part. The removing part has the form of a zeppelin with one or more ribs. The removing part is provided on the upper side with longitudinal connecting elements. Further described is an application of such a device in a surgical treatment wherein, by use of the operating part, the removing part with the form of a zeppelin is opened out, the removed tissue is collected in the expanded bag of the removing part, and the removing part with tissue is pulled optionally at least partially into the open part of the hollow tube. The connecting elements of the removing part can then be brought together and snapped or zipped closed.

Abstract: Disclosed is an NGT system, the system comprises a nasogastric tube having a diameter and length configured to pass through an esophagus such that the lumen of the NGT maintains fluid communication with a portion of the digestive tract, and a digestive tract sensor operatively associated with the NGT, the digestive tract sensor configured to sense from inside the body and transmit signals in response to one or both of conditions relating to nourishment states of the digestive tract, and positioning of the NGT.

Abstract: A hub can be displaced between an initial position at which the hub is located on a front end side of an inner cavity of a shield and an inner needle penetrates an outer needle and a retracted position at which the hub is located on a rear end side of the inner cavity of the shield and the inner needle is housed within the inner cavity of the shield. A stopper includes an insertion portion that is inserted into the inner cavity of the shield and a base portion that is located on a rear end of the insertion portion. The base portion includes a roof portion that exposes part of an outer circumferential face of a tube connected to the hub and covers the remainder thereof, and a pair of grasping portions that are arranged to sandwich the tube and can be elastically displaced so as to grip the tube.

Abstract: A catheter assembly includes a first tubular section and a second tubular section. The first section provides a urinary catheter that is disposed in the second section. The second section has a proximal end with a first opening and a distal end with a second opening. The first opening is adapted for dispensing a proximal end of the urinary catheter out of the proximal end of the second section and the second opening is provided to drain liquid from the urinary catheter through and out of the second section. A sealing obstruction is formed between an inner surface of the second section and an outer surface of the urinary catheter. The sealing obstruction is adapted to form a seal between the distal end portion of the urinary catheter and the proximal end of the second section.

Abstract: A catheter, and preferably a urinary catheter, is disclosed, comprising an elongate shaft with a catheter insertion end and a flared connector connected to the elongated shaft opposite to the catheter insertion end. The flared connector forms a catheter connector end. Further, a gripping sleeve is fixedly connected to the flared connector, and arranged to enclose at leat part of, and preferably essentially the whole, flared connector, apart from the catheter connector end. Hereby, a standard catheter can easily be customized for various use situations and users with different needs, in terms of e.g. gripping and manipulation possibilities. A method for producing such a customized catheter is also disclosed.

Abstract: A device useful for accessing the left atrium is provided. The device comprises an elongated tubular body and a dilating tip. The tubular body has an axis, a proximal end, a distal end and a lumen longitudinally extending therethrough. The dilating tip is slidably mounted on the distal end of the tubular body. The dilating tip comprises a segmented surface that is generally transverse to the axis of the tubular body, and a generally rigid tube extending distally from the segmented surface and having a sharp distal end. Distal movement of the tubular body relative to the dilating tip exerts a force on the segmented surface to thereby open the segmented surface.

Abstract: Provided is a sheath assembly comprising a dilator hub and sheath hub, configured for coupling by a first movement that combines simultaneous longitudinal and radial movements, followed by a second movement that is substantially radial, and what is also provided is a sheath assembly that comprising a hemostasis valve with a W-slit.