Abstract: An endoscope assembly includes a base module, an injection needle, and an image sensing unit. The base module includes an illumination input end. The injection needle is tubular, is connected to the base module, and has a needle shaft. The needle shaft has a bevel surface that is formed on a distal end thereof. The image sensing unit includes a tube portion that extends inside the needle shaft, and an image sensor that is connected to a distal end of the tube portion and that is adjacent to the bevel surface of the needle shaft. Additionally, a passage is formed between the tube portion and an inner surface of the needle shaft.

Abstract: A device for positioning and inserting a medical needle assembly into a patient. The device includes a base configured to be placed adjacent to a needle insertion site on the patient which includes a plurality of positioning features configured to be used for positioning and aligning the device on the patient. The device includes a needle channel and a needle guidance protrusion disposed on the top of the base. The needle guidance protrusion includes a sloped surface having a first end disposed adjacent to the needle channel and a second end displaced from the first end and is sloped such that the second end is disposed higher than the first end. A needle assembly is configured to be pushed down the sloped surface such that the needle of the needle assembly travels through the needle channel to the needle insertion site.

Abstract: A support device to support a catheter assembly may include a platform, which may include an upper surface and a bottom surface. The support device may include an extension element coupled to the upper surface of the platform. The extension element may include a distal end, which may include a first connector configured to couple to the catheter assembly, and a proximal end, which may include a second connector. The extension element may include a valve that may be movable between a first position and a second position. In response to the valve being moved to the first position, a fluid pathway extending through the cannula and the extension element may be open and straight. In response to the valve being moved to the second position, the fluid pathway may be closed. The support device may include a cannula, which may be swaged within the extension element.

Abstract: Self-expanding plug embodiments may be used in conjunction with vascular closure device embodiments to promote hemostasis at surgical sites or any other suitable location. In some cases, vascular closure device embodiments may include self-expanding plug embodiments in order to promote hemostasis at a surgical site during a vascular closure procedure.

Abstract: A device includes a base and a tube clamp. The tube clamp is coupled to an upper surface of the base. The assembled tube clamp and base are positioned around a tube and moved into engagement with a surface of a patient, at which point a lower surface of the base is adhered to the surface of the patient to anchor the tube relative to the surface of the patient.

Abstract: A trocar apparatus includes a trocar and a trocar shaft. The trocar has a retractable-type camera section and a seal unit. The seal unit has a dome type seal and a first mount. A step is formed on the proximal side of a puncture member at the distal end of the trocar shaft. A relationship between a puncture member length L1 of the puncture member and an interval L2 in the axial direction of the trocar from the boundary position between a pipe section and a head section to a first mount opening satisfies conditional formula (A) given below: L1>L2??(A).

Abstract: A device for protecting a user from a sharp tip of a medical needle includes a central body portion, a medical needle having a sharp tip, a pair of wings in attachment to the central body portion, and a hook-and-loop fastening system disposed on at least one of the wings, and configured to selectively attach the wings together with the medical needle positioned between the wings so as to protect a user from the sharp tip of the medical needle. A method of using the device includes withdrawing a sharp tip of a medical needle from a patient, closing a pair of wings with the medical needle positioned between the wings, and fastening the wings together with the medical needle positioned between the wings so as to protect a user from the sharp tip of the medical needle.

Abstract: An elongated catheter includes a tissue-engaging device configured to be urged to move and contact a first surface of the first biological wall. The tissue-engaging device extends from the distal catheter section. The tissue-engaging device is configured to be urged to puncture through the first biological wall. The tissue-engaging device is also configured to be urged to contact the first biological wall without impinging the second biological wall, after the tissue-engaging device has punctured through the first biological wall.

Abstract: A catheter interface protection device can include a shield. The shield can include an open bottom, a transparent upper surface, sidewalls, and a cavity at least partially defined by the bottom, the upper surface, and the sidewalls. The device can include a vent. The device can include a clip, a tether, and a latch. A non-therapeutic method of protecting a catheter interface can include extending a catheter in the subject through a slot in a catheter interface protection device, wrapping the catheter at least partially around a clip of the catheter interface protection device, and securing a latch of the catheter interface protection device around the clip. A device for positioning a subject in a prone position can include a padded area including an opening configured to accommodate a catheter interface protection device.

Abstract: Some embodiments of a medical device anchor system include an anchor device that secures a medical instrument (such as a catheter or the like) in place relative to a skin penetration point using subcutaneous anchors. In some implementations, the anchor device can be installed using a technique in which the subcutaneous anchors undergo relatively little or no flexing when being inserted through the skin into the subcutaneous region between the skin and underlying muscle tissue which may be occupied by fatty tissue.

Abstract: A stabilization device configured to stabilize an access device when a distal end portion of the access device is inserted through a target location of a patient. The stabilization device includes a coupling surface, a proximal surface, and a base surface. The coupling surface is configured to be placed in contact with an adapter coupled to a proximal end portion of the access device. The proximal surface forms at least one angle and is configured to facilitate securement of the stabilization device to the target location. The base surface forms a contoured portion configured to be placed in contact with the target location and a recessed portion configured to be spaced apart from the target location. The stabilization device is configured to be secured to the target location such that the adapter is retained in a fixed position relative to the coupling surface and the access device is stabilized.

Abstract: A surgical access device includes a cannula assembly and an obturator. The obturator is configured to removably couple with the cannula assembly along a central axis of the cannula assembly to facility inversion of the surgical access device through a body wall of the patient. The obturator includes an elongated shaft extending along a longitudinal axis, a tapered distal tip located at a distal portion of the elongated shaft, and an obturator head located at a proximal portion of the elongated shaft. The obturator head includes an interference fit feature capable of inhibiting proximal movement between the obturator and the cannula assembly via a frictional force against a surface of the cannula assembly.

Abstract: The invention relates to a fixing device for fixing a medical, cosmetic, decorative or other article to the skin of a living being, the fixing device comprising the following features: a) a first retaining element having a first piercing point, which is designed to pierce the skin, b) a second retaining element having a second piercing point, which is designed to pierce the skin, the second piercing point being arranged at a distance from the first piercing point, c) a bridge, to which the first and the second retaining element are fastened, d) a fixing portion, which is connected to the bridge or is part of the bridge, the fixing portion being designed to fix the article that is to be fixed.

Abstract: The disclosure relates to systems and methods for controlling the sodium and bicarbonate concentrations in a dialysate. The systems and methods can use conductivity sensors to control the addition of water and bicarbonate to accurately control the final concentrations of both sodium and bicarbonate.

Abstract: Securement arrangements for use in securing a patient interface to the skin of a patient include a substrate material having a first surface and an adhesive material disposed on the first surface. The locations of the adhesive material are varied so as to minimize repetitious adherence of the adhesive material to the patient during repeated applications.

Abstract: A tissue marking device enables the deployment of a hook to mark a location within a breast. The deployment is performed by inserting a needle in tissue until it arrives at a target location and pressing on the end of a rod that embeds the hook in the tissue. A thread is attached to the hook and is left exposed to facilitate locating the hook.

Abstract: A catheter housing device for securing a catheter and needle assembly to a patient. The device can include a cover, an IV/catheter lock, a hub, and one or more fastening straps. The device can replace conventional devices and techniques for securing a catheter and needle to a patient that utilize adhesive materials and/or methods, which are ill-equipped to solve complications including infection/contamination of the insertion site, irritation/damage to the vein or insertion site due to inappropriate angling of the catheter/needle, etc. The devices and methods disclosed herein can provide catheter/needle securement and optimal inclination, a hermetically sealed chamber to resist infection and/or contamination, inert gas or soothing anesthetic vapor drugs in and around the device, and various skin-contacting layers and structures that promote ventilation and patient comfort in and around the insertion site.

Abstract: Some embodiments of a medical device anchor system include an anchor device, a tether, and an adapter for securing a medical instrument (such as a catheter or the like) in place relative to a skin penetration point using subcutaneous anchors.

Abstract: The present teachings include techniques for securing a connection to a dialyzer or the like—e.g., securing the junction between a dialyzer port and a connector (e.g., a DIN connector) that couples the port to tubing of an extracorporeal circuit of a hemodialysis system. To this end, a locking device may engage both a DIN connector and a portion of the dialyzer, such as the cap or an adapter engaged therewith. The locking device may include an interior void sized and shaped to accommodate winged portions (or other portions) of the DIN connector to mitigate rotation thereof relative to the port to which it is engaged. Further, the locking device may be used to ensure that coupling between the DIN connector and the port is proper and secure. In this manner, a locking device can mitigate leaks, which can be catastrophic during a hemodialysis treatment or the like.

Abstract: A catheter securement device includes a body having a generally curved channel configured to receive a central venous catheter and reposition it in a different direction than the direction of the catheter as it exits the skin of the patient. The securement device includes a cover that slidably connects to the securement device body to prevent the catheter from being pulled out of the curved channel.

Abstract: An apparatus for fastening around a cranial burr hole includes a substantially flat core and a shell encapsulating a ring portion of the core. The shell defines an orifice substantially centered within the ring portion, and has a contoured lower surface to match the cranial curvature. Pliable arms of the core extend laterally from the ring portion, each being terminated by a fastener member. A central portion of a placement tool for the apparatus has a lower part configured to extend through the apparatus orifice, and an upper part from which first and second arms of the tool extend laterally. Each tool arm is terminated with a receptacle to hold a bone screw, and, when the tool central portion lower part extends through the apparatus orifice, each receptacle aligns with a corresponding fastener member, and lower openings of the receptacles are generally oriented along the contoured lower surface.

Abstract: A therapeutic illumination assembly includes a catheter and a point source treatment fiber. The catheter comprises a catheter wall encircling a luminal fluid pathway. The point source treatment fiber is positioned within the luminal fluid pathway of the catheter. Further, the point source treatment fiber comprises a plurality of light emitting point sources intermittently positioned along a treatment length of the point source treatment fiber such that the plurality of light emitting point sources irradiate the catheter when the plurality of light emitting point sources emit light.

Abstract: A catheter adapter may include a catheter adapter body and a catheter adapter channel formed within the catheter adapter body. The catheter adapter body may include a proximal end, a distal end, an inferior surface, and a superior surface. The inferior surface of the catheter adapter body may be configured to abut against a surface area of a patient's skin, and an angle formed between the surface area of the patient's skin and a longitudinal axis of the catheter adapter channel may be greater than 4 degrees.

Abstract: Some embodiments of a medical device anchor system include an anchor device that receives a catheter (or other medical instrument) and secures the catheter in place relative to a skin penetration point. In some embodiments, the anchor device can secure the catheter in an operative position relative to the skin without the use of sutures or skin tapes. In particular embodiments, the anchor device can be adjusted to a folded condition so that subcutaneous anchors are partially rotated prior to removal from the skin penetration point.

Abstract: An organizing, safety and securement device for use with a peripheral intravenous catheter includes: (a) a catheter base with an opening, that is covered by a transparent membrane, and an upper securement element with a luer fitting indentation, (b) a lower securement element having a top surface with a luer fitting indentation (c) an organizer base with upper and lower clamping members that are hinged together and have free surfaces with tubing indentations that include color coded, mainline and apinch tubing portions, and (d) a tether which connects the catheter and organizer bases.

Abstract: An absorbent stoma pad for encapsulating an external bolster of a feeding tube is provided. The stoma pad includes an upper layer, base layer, absorbent material, and cavity. The upper layer, which includes an upper surface and a lower surface, contains a centrally located opening with respect to a periphery of the upper layer, wherein the opening is configured to receive a tube portion of the feeding tube. The base layer, which includes an upper surface and a lower surface, contains a centrally located opening with respect to a periphery of the base layer, wherein the opening is also configured to receive the tube portion of the feeding tube. Meanwhile, the absorbent material is disposed adjacent the upper layer's lower surface. Further, the cavity permits airflow between the absorbent layer and the base layer when the external bolster is encapsulated by the stoma pad and positioned within the cavity.

Abstract: Certain embodiments provide a cannula system with a retention mechanism comprising a cannula, a hub coupled to the cannula, wherein a distal end of the cannula is configured to be inserted into a body part up to the hub, and a retention mechanism configured to create resistance for retaining the cannula inside the body part in response to force exerted on the cannula for pulling the cannula out of the body part. The retention mechanism may include retention elements coupled to a bottom surface of the hub, and by rotating the hub in a first direction, the one or more retention elements that are parallel to a surface of the body part are configured to penetrate the body part. In other embodiments, the retention mechanism may include halfpipe elements that pivot on fulcrum points to hold or release the hub and cannula from the body part.

Abstract: A holder for securing a venous access device to a patient may include a flexible substrate having an upper surface, a lower surface, and an outer perimetal surface. An adhesive layer may overlay the lower surface of the flexible substrate. The adhesive layer may have an adhesive for adhering to skin of the patient. The holder may further include a hydrophilic matrix integrated into at least a portion of the adhesive layer, at least one solvent reservoir disposed on the upper surface of the flexible substrate, and a connector secured to the outer perimetal surface. The connector may have a first end for connection to a needle assembly and a second end for connection to an IV fluid line.

Abstract: A stabilisation system for securing a medical device such as a catheter to tissue, in particular skin, the stabilisation system comprising a main body having a first section and a second section displaceable relative to one another to translate the system between an undeployed state and a deployed state, each section including an array of microneedles extending from a tissue contacting surface of the body and which penetrate the skin in response to the above displacement, the stabilisation system further comprising a closure member displaceable between an open position exposing a retention zone on the body and a closed position at least partially occluding the retention zone, within which retention zone the catheter or other medical device may be captured.

Abstract: A support device to support a catheter assembly may include a platform, which may include an upper surface and a bottom surface. The support device may include an extension element coupled to the upper surface of the platform. The extension element may include a distal end, which may include a first connector configured to couple to the catheter assembly, and a proximal end, which may include a second connector. The extension element may include a valve that may be movable between a first position and a second position. In response to the valve being moved to the first position, a fluid pathway extending through the cannula and the extension element may be open and straight. In response to the valve being moved to the second position, the fluid pathway may be closed. The support device may include a cannula, which may be swaged within the extension element.

Abstract: Fluid communication devices and supporting structures may be provided for use with intraosseous devices. Apparatus and methods may also be provided to communicate fluids with an intraosseous device.

Abstract: A label sticker includes a release layer strip, an attachment layer strip and a label layer strip. The attachment layer strip is made of an artificial dressing material and its lower surface is coated with or adhered to a first glue layer. The lower surface of the attachment layer strip is attached to the upper surface of the release layer strip through the first glue layer. The label layer strip is made of a waterproof material and its lower surface is coated with or adhered to a second glue layer. The lower surface of the label layer strip is attached to the upper surface of the attachment layer strip through the second glue layer. The label sticker, to be adhered to the human skin to serve identification purposes, can be manufactured by mass production but is unlikely to be wetted and smeared.

Abstract: Some embodiments of a medical device anchor system include an anchor device that secures a medical instrument (such as a catheter or the like) in place relative to a skin penetration point using subcutaneous anchors.

Abstract: A medical device for fixing a catheter to a patient is disclosed. It includes a base having a planar main development, a first face configured to be glued to a patient's skin, a second face, opposite to the first face, adapted to receive a catheter according to an axis of insertion of the catheter, and at least two pegs which rise substantially perpendicular to the second face. Each peg has a stem which rises from the second face and has a cross section suitable to freely pass through a through hole of a fin of a catheter. The peg also has an enlarged free terminal end having a cross section greater than the cross section of the stem so that it cannot freely pass through the through hole. The enlarged terminal end is able to pass through the through hole only by elastically widening the through hole.

Abstract: A cannula assembly includes an elongate shaft assembly that is adjustable by a clinician to vary the length of the cannula assembly. In particular, the elongate shaft assembly may be transitioned to provide various lengths of the cannula assembly by selectively positioning a plurality of segments of the elongate shaft assembly. In this manner, a single cannula assembly may be tailored to each patient or a surgical procedure being performed.

Abstract: A medical device (100) for securing a catheter (700) to a support (600) is described, comprising a base element (200) having a first side (201) fixable to the support (600), and a second side (202) opposite the first side (201), and comprising a top element (500) having a first side (501) connectable with the second side (202) of the base element (200). When the first side (501) of the top element (500) is connected with the second side (202) of the base element (200), the top element (500) and the base element (200) are arranged for forming a feedthrough for the catheter (700) between the second side (202) of the base element (200) and the first side (501) of the top element (500). At least one of the base element (200) and the top element (500) comprises a deformable fluidum filled chamber (430), the deformable fluidum filled chamber (430) arranged such that the catheter (700) is locally tightly held between the base element (200) and the top element (500) when positioned there between.

Abstract: An on-body drug delivery device having a housing carried by a substrate. The device includes an adhesive module placed over at least a portion of said device to provide added securement of the device to the patient's body.

Abstract: Embodiments described herein relate to encasements for protection of central lines, arterial lines, and/or intravenous (IV) lines from contaminants, and methods of making and using the same. In some embodiments, an encasement device can include a flexible sleeve that fits over a central line and protects the central line from contaminants. The flexible sleeve has a first open end and a second open end. A first closing element secures the first open end to a medical dressing and a second closing element secures the second open end in a closed position at a location distal to the first closing element. In some embodiments, the central line can include an intravenous (IV) catheter, a peripherally inserted central catheter (PICC) and/or a hemodialysis line. In some embodiments, the device can include a flap coupled to the flexible sleeve.

Abstract: Some embodiments of a medical device anchor system include an anchor device that secures a medical instrument (such as a catheter or the like) in place relative to a skin penetration point using subcutaneous anchors. In some implementations, the medical instrument can be coupled to the anchor device using a snap-lock cap mechanism.

Abstract: A catheter system may include a catheter adapter, which may include a distal end, a proximal end, and a lumen extending through the distal end and the proximal end. The catheter system may include a connector coupled to the proximal end of the catheter adapter. The connector may include a T-connector. The catheter system may include a connector support device, which may be wedge-shaped to support the connector at an insertion angle.

Abstract: A securement device for securing a catheter includes a retainer, a strap, a first anchor pad and a second anchor pad, a gap separating an edge of the first anchor pad from an adjacent edge of the second anchor pad. The retainer can include a first base member secured to an upper surface of the first anchor pad, a second base member secured to an upper surface of the second anchor pad, and a body coupled to the first and second base members. The body can include a portion spanning the gap separating the first anchor pad from the second anchor pad. The portion of the body can include an open channel through an upper surface of the body, the open channel aligned with the gap. The body can further include a first securement mechanism and a second securement mechanism. The strap can be rotatably coupled to the body.

Abstract: A surgical access device includes a cannula body, a fixation mechanism, and an illumination mechanism. The fixation mechanism includes a collar, a sleeve, an expandable member, and a distal ring. The illumination mechanism includes at least one light disposed on the expandable member, and a switch. Distal translation of the collar relative to an elongated portion of the cannula body causes the expandable member to move from a first position defining a first gap between a mid-portion of the expandable member and the elongated portion of the cannula body, to a second position defining a second gap between the mid-portion of the expandable member and the elongated portion of the cannula body, the second gap being greater than the first gap.

Abstract: The invention relates to a surgical apparatus, in particular a navigation probe for localizing and treating lesions in a brain, comprising a telescopically expandable body member having an anterior end, a posterior end, and comprising a top part and a bottom part, the bottom part having at least one groove extending for a particular length in a longitudinal direction of the bottom part between said anterior end and said posterior end, the top part being placed on said bottom part and having at least one engaging element that extends into said at least one groove so as to mount the top part on the bottom part moveable in said longitudinal direction, wherein the body member has a substantially circular or polygonal cross-section in the assembled state of the bottom part and the upper part.

Abstract: A wearable drug delivery device and related methods are described. The wearable drug delivery device can include: a housing; a flexible bag disposed within the housing; a cannula in fluid communication with the flexible bag; and a pumping mechanism for forcing a drug from the flexible bag and into the cannula, wherein the pumping mechanism is proximate the flexible bag and includes a spring-loaded paddle or a driving bag.

Abstract: An infusion set that has a base having an opening to receive a cannula device, the base having a lower base part and an upper base part, wherein the upper base part is coupled to the lower base part and is rotatable relative to the lower base part and a connector that has a fluid connector tube. The connector prevents the upper base from substantially rotating relative to the lower base and the fluid connector tube is in fluid connection with the cannula device when the connector is coupled to the base.

Abstract: Method and apparatus for providing an integrated transmitter unit and sensor insertion mechanism is provided.

Abstract: Some embodiments of a medical device anchor system includes an anchor sleeve and a catheter (or other medical instrument) to advance though a working channel of the anchor sleeve. The anchor sleeve may have a subcutaneous cuff device arranged along an outer surface. In such circumstances, the embedded cuff device can inhibit the migration of infection from outside the skin and into the blood stream.

Abstract: The present disclosure provides a device that includes a tube having a first end and a second end. The device also includes a stopper coupled to a surface of the tube adjacent to the second end of the tube. The stopper is configured to extend radially from the surface of the tube. The device also includes a first rib coupled to the surface of the tube. The device also includes a second rib coupled to the surface of the tube. The first rib and the second rib are positioned opposite one another on the surface of the tube between the first end of the tube and the stopper.

Abstract: In accordance with an aspect of the present disclosure, an apparatus for suturing tissue is provided that includes a body having a proximate end and a distal end. A suturing head is coupled to the distal end of the body, including a first set of curved needles, a second set of curved needles, and a plurality of sutures. A first end of a suture is coupled to one of the curved needles of the first set. A second end of the suture is coupled to one of the curved needles of the second set. The curved needles of the first set are oppositely oriented to the curved needles of the second set. The suturing head can be positioned between two substantially parallel sections of tissue. An actuator is coupled to the body to deploy the first and second sets of curved needles.

Abstract: Herein disclosed are nasal inserts for treatment and/or management of various different ailments. Easy modification of the insert allows for treatment of various ailments that can readily be treated via the nose. The insert can direct air into or out of the nasal cavity and/or deliver medicinal substances and/or non-medicinal substances to the appropriate regions, thereby providing the appropriate therapeutic effect, depending on the ailment being treated.