Abstract: A securement device holds a medical article having flexible portions in position upon the body of a patient and inhibits movement of the medical article. The medical article may be insertable into the securement device from above, from below, or along a longitudinal axis of the device. The securement device may have abutment surfaces which interact with the flexible portions of the medical article to further inhibit rotation of the device.

Abstract: A securement system (100) includes a device which permits a portion of a catheter or similar medical article to be easily anchored to a patient, desirably without the use of tape or needles and suture. A securement system for an elongated medical article comprises an anchor pad (110) and a retainer (120) mounted upon the anchor pad. The retainer (120) includes a channel (130) that has at least one abutment surface (160) corresponding to a contact surface on the medical article and a groove (210) configured to receive a spline (40) of the medical article. The medical article is placed into the channel (130). The medical article is secured within the channel by retaining at least one spline (40) and contact surface on the medical article.

Abstract: A securement device includes a simply-structured retention mechanism that permits a portion of a catheter hub or a similar medical article to be easily anchored to a patient, without the use of tape or needles and suturing. A unitary retainer desirably includes a base defining a locator mechanism. The locator mechanism interacts with a fitting of the medical device so as to position the medical device relative to the retainer. The locator mechanism also desirably guides the medical device fitting into contact with an adhesive member mounted on an outer surface of the retainer. In one form, the locator mechanism includes one or more posts that engage mating holes defined in the medical device fitting. In other forms, the locator mechanism includes a cradle defining an arcuate channel to receive a convex surface of the medical device, or a recess shaped to matingly receive the fitting.

Abstract: The present invention discloses an adhesive tape to secure an intravascular catheter to the skin of a patient at an intravascular site comprising: (a) a strip of tape having adhesive on all of one side except for portions at the ends, the strip of tape having a length of about 15 mm to about 300 mm and width of about 4 mm to about 30 mm; (b) two removable covers affixed near the ends of the adhesive side of the strip, wherein the removable covers are separated from each other by a centrally located portion of the strip of tape; and (c) a third removable cover affixed to the central portion of the adhesive side of the strip of tape. The subject invention further reveals a sterile intravascular starter kit, said kit being comprised of the adhesive tape for an intravascular catheter, a tourniquet, a gauze pad, an antiseptic skin preparation device, optionally a towel, and a clear occlusive dressing.

Abstract: An epidermal dressing includes a barrier film and a fitting that cooperates with a sensor emitting and detecting near infrared signals for monitoring an intravascular infusion. The barrier film overlies an epidermal insertion site for a cannula administering the intravascular infusion. The fitting includes a first arrangement that retains the sensor and a second arrangement that releases the sensor from the first arrangement.

Abstract: Apparatus (10) for shielding a catheter from contact with water whilst showering, the apparatus (10) comprising: a first shield component (10(a)) having a first part (13) that is configured to form a first seal around an exit aperture (30) from which a catheter exits the patient's body, said first part (13) defining an internal volume (17) that opens to an internal volume (15) of a second part (15) that is configured to receive a distal part of said catheter; and a second shield component (25) for adhering to the patient's body around at least part of the periphery of the first part (13) of said first shield component (10(a)) so as to provide a second seal against water contact with said exit aperture (30); wherein said first and second shield components (10(a), 10(b)) cooperate, when the apparatus (10) is worn by a patient, to resist water contact with said exit aperture (30) without obstructing access to an area of the patient's skin beneath said second part (15) of said first shield component (11).

Abstract: An epidermal dressing includes a fitting that cooperates with a sensor emitting and detecting near infrared signals for monitoring an intravascular infusion. The fitting includes a first arrangement that retains the sensor and a second arrangement that releases the sensor from the first arrangement.

Abstract: A catheter assembly having a catheter with a longitudinal body having a transverse attachable detachable fastening member thereunder comprising a pliable polymeric element having a top side and a bottom side with the top side having a longitudinal groove fixedly attached to the catheter's longitudinal body with the bottom side having an adhesive layer covered by a peelably removable cover so that when removed the catheter assembly can be adhesively attached to a recipient's skin and when desirous of removal can be peelably removed from said recipient's skin.

Abstract: Cyanoacrylate adhesive compositions comprise a mixture of two cyanoacrylate monomers, including 2-octyl cyanoacrylate and n-butyl cyanoacrylate. The monomers are stabilized and sterilized by irradiation, and do not substantially increase in viscosity after sterilization or after two years of shelf storage. These compositions have anti-microbial properties, and may be used to close wounds as well as secure catheters inserted into the body in place.

Abstract: A dressing includes a cover layer and a plurality of force concentration elements disposed about a perimeter of the cover layer. Each force concentration element is configured to collect and distribute shearing forces applied to the dressing so as to retain the dressing to a patient. When configured as a window dressing, the window dressing can include a top layer defining a window and a backing layer coupled to the top layer and spanning the window. A plurality of adhesive islands can be disposed about a perimeter of the top layer, with each of the adhesive islands having a first adhesion coefficient associated therewith. An adhesive layer can be disposed about the adhesive islands. The adhesive layer can have a second adhesion coefficient associated therewith that is less than the first adhesion coefficient. Window dressings are well suited for catheterization procedures.

Abstract: A method for selectively powering a battery-operated drug-delivery device, the device having a battery and a battery circuit, the method comprising: providing a battery isolator in a first position whereat it interrupts a battery circuit, whereby no power is provided to the device; and activating a fastening mechanism configured for fastening the device to a user, the activating causing the battery circuit to be uninterrupted by the isolator, such that power is provided to the device. Additionally, there is provided a selectively powered battery-operated drug-delivery device, comprising: a selectively-removable isolator disposed in a first position whereat it interrupts a battery circuit; the isolator movable to a second position whereat the battery circuit is uninterrupted by the isolator; and a mechanism for fastening the device to a user, activation of the fastening mechanism moving the isolator from the first position to the second position.

Abstract: An anchoring system includes a simply-structured device which permits a portion of a catheter or similar medical article to be easily anchored to a patient, desirably without the use of tape or needles and suture. The anchoring system comprises an anchor pad and a retainer mounted upon the anchor pad. The retainer includes a plurality of intersecting channels into which the medical article to be retained is placed. The medical article is secured within the intersecting channels by retaining at least one axially extending member on the medical article.

Abstract: Some embodiments of a medical device anchor system include an anchor device that receives a medical instrument (such as a catheter or the like) and secures the instrument in place relative to a skin penetration point. In some circumstances, the anchor device may allow the anchor device to be used after medical instrument is already in place without the need for a second penetration point for the anchor device.

Abstract: A dressing having integral antimicrobial includes a transparent film layer having a top side, an opposite bottom side, and an insertion site viewing portion. The dressing also includes an antimicrobial member having a top side and an opposite bottom side. The antimicrobial member top side is adhered to the film layer bottom side in the insertion site viewing portion. The antimicrobial member includes at least one pair of elongated, spacedly disposed portions defining a slot therebetween. A zone of inhibition defined by the antimicrobial member covers an entire area of the slot between the member portions.

Abstract: A cartridge insertion assembly including apparatus with a pathway formed therein, a cartridge including a cartridge coupling element connectable to an activation mechanism disposed in the apparatus operative to cause a substance contained in the cartridge to be metered out of the cartridge, and a door pivoted to the apparatus that includes a door coupling element arranged with respect to the cartridge such that when the door is in a fully closed position, the door coupling element couples the cartridge coupling element with a coupling element of the activation mechanism.

Abstract: A cover unit for inserting a puncture device such as a cannula in an anatomical structure such as a vein or an artery and for maintaining said puncture device in said anatomical structure, comprising a flexible film having a glue provided surface, and a removable covering layer to cover said glue provided surface, wherein said cover unit comprises a patient adherent member and a barrier member connected along a connection line, which is arranged close to a puncture site in a patient; said film being made of an ultrasound transparent material; said barrier member being provided with at least one slit or weakening line extending from next to said connection line to a side edge of the cover unit and provided in said film; and said covering layer in the barrier member is removable from the film separately from the corresponding covering layer in the patient adherent member.

Abstract: A device for inserting a cannula into tissue, including a cannula, a protective element which can accommodate said cannula, an operating element for moving the cannula out of the protective element, and a holder fixedly connected to the cannula. The invention encompasses a system for connecting a liquid supply to the cannula.

Abstract: Surgical appliance kit and system for releasably securing a surgical appliance to a surgical field and method of assembling the surgical appliance kit. The surgical appliance kit and system comprises a surgical tray having the surgical appliance and a plurality of hook-and-loop attachment members disposed thereon. A cover is attached to the surgical tray and covers the surgical appliance and the plurality of attachment members. In use, a “hook” attachment member is adhesively attached to the surgical appliance and a “loop” attachment member is adhesively attached to the surgical field. The hook attachment member is placed into engagement with the loop attachment member. In this manner, the surgical appliance is releasably secured to the surgical field, so that the surgical appliance will not inadvertently fall from the surgical field.

Abstract: A male external incontinence device includes a first seal formed of adhesive leaves carried by a housing and a second seal attached to the housing to be at a fixed position relative to the first seal and having a length to extend around the first seal after the leaves are secured to a penis.

Abstract: An anchoring system includes a securement device having an anchor pad with a flexible retainer opening that receives a portion of a medical article, such as a catheter, to hold it securely in place. A locating mechanism in the form of posts positions and holds the catheter in position and limits rotational movement of the catheter. The anchor pad is secured to a patient's skin by adhesive.

Abstract: An infusion system includes a disposable wearable infusion device and a filler device. The disposable infusion device has a body arranged to be adhered to a patient's skin and a reservoir for holding a liquid medicant to be infused into the patient. The filler device is arranged to detachably receive the infusion device body and to transfer a volume of the liquid medicant to the infusion device reservoir. The filler device may be part of a service device arranged to detachably receive the infusion device and which also includes a cannula driver and a cannula for providing the infusion device with a cannula and deploying the cannula to beneath a patient's skin.

Abstract: A needle insertion assistance device is provided to easily hold a needle device, which comprises a syringe and a needle having a needle wing and being attached to the syringe, in order to more reliably control the advancement of the needle during insertion of the needle into a targeted part of a human body for many medical purposes. One embodiment of the needle insertion assistance device may comprise a supporting plate, a base connected hingedly to a rear surface of the supporting plate, and a syringe holder securely affixed to a top surface of the base to slidably hold the syringe on the base and prevent the syringe from moving from side to side. This embodiment of the needle insertion assistance device may further include a needle blocker, a handle, and an angle adjusting assembly.

Abstract: Protective device for protecting a port needle or Huber needle against shifting and for protecting at least one port needle puncture site and/or incision site. A frame-like spacer element is provided with an inner opening, recess or cutout for surrounding or receiving the port needle or Huber needle, which frame-like spacer element has a height corresponding to at least half the height of the port needle or Huber needle and has at least one means for fixing or securing the spacer element in the area of a port.

Abstract: A blood access device including a fluid conduit configured to convey a flow of fluid to a target vessel, a second lever element pivotally and resiliently connected to a first lever element such that it may move from a first position to a second position. A biasing force is exerted on the second lever element for moving it from the first position to the second position, and a blocking member may be activated by the second lever element, such that a flow of fluid is decreased when the second lever element is moved from the first position to the second position. The lever elements are configured to be fixed to the target vessel when the second lever element is in the first position, and the second lever element moves to the second position and activates the blocking member if the fixation is at least partially lost.

Abstract: An intravenous splint cover may include a main body and a pair of opposing securing members connected to the main body. The intravenous splint cover may also include a splinting member carried by the main body to create an elevated portion of the main body. Bottom portions of the pair of opposing securing members and the main body that does not carry the splinting member may have an adhesive material applied thereto. The splinting member may extend along a medial portion of the bottom portion of the main body substantially between an entire width thereof. The intravenous splint cover according to the present invention advantageously secures an IV site of a patient while allowing the extremity of the patient with IV is located to remain mobile.

Abstract: A system and method for a patch-like, self-contained substance infusion device (700) which can be attached to a skin surface via an adhesive contact surface. A push button (780) activation assembly can then be used to remove an interlock (730), allowing a disk or Belleville spring (735) assembly to apply an essentially even and constant pressure to the contents of a fluid reservoir assembly (710). This allows the release of one or more spring-loaded patient needles (760) into the skin surface, and establishes a fluid communication path between the patient needles (760) and the pressurized fluid reservoir contents thereby delivering an infusion into the skin. The push button (780) activation assembly further allows the release of one or more improved safety mechanisms (794) after use.

Abstract: A catheter anchoring or securement device and system in combination with or for securing a catheter system to a patient's skin in a fixed position, the invention having a flexible anchor sheet member having an adhesive backing that adheres the flexible anchor sheet member to the patient's skin, a compressible catheter receiving pad mounted to the flexible anchor sheet member, and releasable securing strap covering the compressible catheter receiving pad, wherein the compressible catheter receiving pad is provided with a cavity or recess, the peripheral configuration of which corresponds to the footprint configuration of the catheter body member. The cavity has an axially-oriented channel extending the full width of the flexible anchor sheet member and opposing sets of retention walls defining lateral recesses, the combination of which precludes relative movement of the catheter fitting in all lateral directions.

Abstract: A bandage can be used to secure a needle to an access site so as to prevent unintended movement or withdrawal of the needle from the access site during administration of a treatment to a patient. After treatment, the needle can be removed by manipulating a portion of the bandage. Another portion of the bandage can be maintained in position over the access site during needle removal and can be used to promote clotting of the site after needle removal. The bandage may include a clotting agent, a hemostasis pad, and/or a clot-promoting structure. Additionally or alternatively, finger pressure can be applied to the access site through the bandage. For example, the bandage may include a viewing window without any adhesive to allow visual monitoring of the access site during treatment. Finger pressure may be applied to the viewing window and thereby to the access site during and after needle removal to encourage hemostasis.

Abstract: A dressing having integral antimicrobial includes a transparent film layer having a top side, an opposite bottom side, and an insertion site viewing portion. The dressing also includes an antimicrobial member having a top side and an opposite bottom side. The antimicrobial member top side is adhered to the film layer bottom side in the insertion site viewing portion. The antimicrobial member includes at least one pair of elongated, spacedly disposed portions defining a slot therebetween. A zone of inhibition defined by the antimicrobial member covers an entire area of the slot between the member portions.

Abstract: An improved anchor system and method for holding an intravenous catheter to the patient's body that is easier to clean. The system includes an intravenous catheter having a main line, a yoke attached to the main line, an elastic band made of non-porous material, and a neck lanyard with a clamp. During use, the elastic band is positioned around the two lumens and twisted into a figure eight configuration, forming two loops. Each lumen is extended into one of the elastic band's two loops. The lanyard's clamp is then attached to the crossover section of the elastic band located between the two loops. The elastic band is sufficient in size and resiliency so that when the clamp is released, each loop may be stretched so the lumens may be removed so the elastic band may be replaced.

Abstract: A device for inserting an infusion cannula, or sensor, into a patient is presented. The device comprises an insertion needle removable within the infusion cannula, a handle connected to the insertion needle, and a needle cover. The needle cover pivotably mounted on the handle is rotatably movable between a first position, i.e., the front of the insertion needle is in the needle cover, and a second position, i.e., the front is exposed. An infusion site interface comprises a body mounted on a pad attached to the patient; an infusion cannula for inserting into the patient that is connected to the body; a cavity within the body fluidly connected to the cannula; and a septum that seals closed the cavity. The septum is penetrable by an insertion needle in the infusion cannula and by a hollow needle of an infusion tubing connector coupled to the infusion site interface.

Abstract: A medical device is provided comprising a transcutaneous device unit and a process unit. The transcutaneous device unit may comprise a transcutaneous device for transporting a fluid through a skin portion of a subject, and a mounting surface adapted for application to the skin of the subject. The process unit may comprise a reservoir adapted to contain a fluid drug, the reservoir comprising an outlet means allowing the transcutaneous device to be arranged in fluid communication with an interior of the reservoir, and an expelling assembly for expelling a fluid drug out of the reservoir and through the skin of the subject via the transcutaneous device. The transcutaneous device unit and the process unit further comprise coupling means allowing the reservoir unit to be secured to the transcutaneous device unit in the situation of use. By this arrangement a two-unit system is provided which can be used in a convenient and cost-effective manner.

Abstract: A flexible pneumostoma management device maintains the patency of a pneumostoma while controlling the flow of material through the pneumostoma. The pneumostoma management device includes flange attaches to the chest of the patient to secure the device in position. The pneumostoma management device also includes a tube which enters the pneumostoma to allow gases to escape the lung. The length of the tube is selected to match the dimensions of the pneumostoma of a patient. In order to manufacture devices having different tube lengths, the tube is formed at a longer length than required, cut to size and tipped. The tube may be formed by molding or extrusion.

Abstract: A phototherapy patch is disclosed, which includes: an adhesive layer, having a first surface and an opposite second surface; a pharmaceutical drug layer, disposed on the first surface of the adhesive layer; and a spontaneous emission layer, disposed over the pharmaceutical drug layer and capable of emitting therapeutic light by light illumination or a chemical reaction. Accordingly, the phototherapy patch according to the present invention has no power supply disposed therein, and thereby is suitable to be manufactured as a particularly thin and thus inconspicuous device.

Abstract: Provided is a fixation device for retaining a skin penetrating medical device, such as a cannula, on the skin of a patient. The fixation device includes a retaining component including a support layer having an adhesive coating, and a landing zone component, including a support layer having an adhesive coating, the landing zone component being adapted to be adhesively attached to the skin around the point of penetration. The retaining component acts as a skin-contacting component and is adapted to be applied on top of the landing zone component, and at least partially cover the medical device, such that the adhesive coating of the retaining component is applied to the support layer of the landing zone component. The adhesive coating of the retaining component includes a first adhesive, and the adhesive coating of the landing zone component includes a second adhesive, the first adhesive being different from the second adhesive.

Abstract: A securement device for retaining medical tubing, catheters, and other medical fixtures proximal a patient's skin. The device has a base, at least one channel formed in the base, a flexible strap for overlying the base, and a coupling assembly for coupling the strap to the base. Embodiments for use with Foley catheters include a plurality of channels of differing diameters. Embodiments for use with a peripheral catheter include a single channel for retaining a spin nut. The coupling assembly includes left and right tracks in left and right sides of the base, and left and right rails on an underside of the flexible strap at left and right ends of a body of the strap. The left rail is removably coupled and held within the left track on the base, and the right rail is removably coupled and held within the right track on the base.

Abstract: A securement device for securing a catheter to a patient is provided. The securement device includes a base including a support member and at least one securement arm extending away from the support member. The support member defines a cradle portion, the cradle portion of the support member being configured to receive at least a portion of a catheter. The at least one securement arm being movable over the cradle portion to a position to secure a catheter within the cradle portion. The securement device further includes a cover member configured to be received over the base and dimensioned to secure the base to a patient.

Abstract: A device for inserting a cannula into tissue, including a cannula, a protective element which can accommodate said cannula, an operating element for moving the cannula out of the protective element, and a holder fixedly connected to the cannula. The invention encompasses a system for connecting a liquid supply to the cannula.

Abstract: A securement device holds a medical article such as a catheter hub or a connector fitting in position upon the body of a patient and at least inhibits distal, longitudinal movement of the medical article. The securement device includes a retainer and at least one anchor pad. The retainer includes an abutment wall and a slot. The slot has a labyrinth shape leading to a cradle part of the slot. At least a portion of the medical article is inserted into the cradle part through the slot. The abutment wall includes at least one abutment that abuts against a contact point or surface on the medical article to inhibit distal, longitudinal movement of the medical article.

Abstract: A pneumostoma management system which includes a pneumostoma management device and a cover. The pneumostoma management device maintains the patency of a pneumostoma while controlling the flow of material through the pneumostoma. The pneumostoma management device includes a hydrophobic filter and/or a one-way filter. The cover serves to protect the pneumostoma management device and/or provide a cosmetic skin to make the pneumostoma management device more acceptable to the patient and thereby encourage patient compliance with a pneumostoma treatment regimen.

Abstract: A securement device, system, and method for use with a medical article. The securement device, system, or method may include a body that has a top surface and a bottom surface. The bottom surface has an adhesive compound thereon. A resilient retainer formed from a soft, tacky elastomeric gel or foam is supported by the bottom surface of the body. The resilient retainer receives and secures a medical device. The medical device is secured to the skin of a patient upon affixing the bottom surface to the patient via the adhesive compound.

Abstract: Intravenous catheter devices are provided which may include one or more adhesive portions which are positioned and configured to temporarily maintain a position of a catheter assembly following catheterization. A release liner covering and protecting the adhesive portions may be automatically removed to reveal the adhesive upon withdrawal of an introducer needle of the catheter assembly. The adhesive may be configured such that a clinician may insert the catheter assembly into the patient, adjust the catheter adapter of the catheter assembly to a desired position, withdraw the introducer needle, thereby removing a protective, non-adhesive release liner from the adhesive of the positioned catheter assembly, thereby temporarily fixing the position of the catheter assembly at the desired position by contacting the exposed adhesive to the skin of the patient.

Abstract: Sterile intravenous catheter securements and securement dressings that provide simpler, more effective, and lower risk intravenous catheter placement and securement in a patient are described. Catheter securement dressings may include one or more adhesive portions positioned and configured to maintain a position of a catheter assembly following catheterization. Catheter securement dressings may be secured to a patient with an adhesive portion, and the catheter assembly may then be placed into the patient through an access opening in the catheter securement dressing. Portions of catheter securement dressings may then by folded over and adhered to each other and portions of the catheter assembly to secure the catheter assembly to the patient.

Abstract: A flexible pneumostoma management device maintains the patency of a pneumostoma while controlling the flow of material through the pneumostoma. The pneumostoma management device includes a pneumostoma vent having a tube which enters the pneumostoma to allow gases to escape the lung, a flange and a filter/valve to control flow of materials through the tube. The flange is a thin flexible patch which conforms and attaches to the chest of the patient. The flange secures the tube in position in the pneumostoma. The flange is formed in one piece with the tube.

Abstract: A pneumostoma management system for maintaining the patency of a pneumostoma while controlling the flow of material through the pneumostoma. The pneumostoma management system includes a two-part pneumostoma management device and associated insertion and removal tools. The pneumostoma management device includes a pneumostoma vent and a chest mount for positioning and securing the vent into a pneumostoma. The pneumostoma vent includes a hydrophobic filter and/or a one-way valve.

Abstract: An anchoring system secures a catheter to the body of a patient and arrests axial movement of the catheter without meaningfully impairing fluid flow through the catheter. The anchoring system includes an anchor pad that adheres to the patient's skin and supports a retainer. The retainer includes interacting structure with a cooperating keeper and latch that releasably moves the retainer between an open and a closed position. When in the open position, the retainer can receive a portion of the catheter and be subsequently moved to the closed position. The retainer further includes one or more retention mechanisms that inhibit axial movement of the catheter relative to the retainer when the catheter is secured therein. In one mode, the retainer includes interacting structure with a keeper and latch. The keeper selectively cooperates with the latch to secure the retainer in a closed position where the cover is generally over to the base.

Abstract: A medical article is configured to provide access to a patient's vasculature. The medical article includes an elongated body and a pair of stabilizing wings that extend from the elongated body and are configured to stabilize the medical article on a patient. The stabilizing wings are configured to rotate together or independently about the longitudinal axis of the elongated body between at least a first configuration and a second configuration. The elongated body can include a one-way valve disposed therein. The medical article can also one or more adhesive layers configured to releasably attach at least a portion of the wings to a patient.

Abstract: Disclosed is a drug infusion system comprising a drug infusion device having a reservoir, a window for viewing the contents of the reservoir, a cannula arranged to be deployed beneath the skin of a patient, and an actuator configured to be manually actuated to drive a medicament from the reservoir to the cannula. The system also has a cannula cover and a needle handle that holds a needle for insertion into the patient. The cannula cover and needle handle are detachably attached to the drug infusion device, and each is attachable to the other. The device further comprises a septum and a septum pincher to seal the device. The device also comprises a pumping mechanism, part of which are a last-dose lock-out mechanism and an occlusion detection mechanism, both of which operate on the same actuator.

Abstract: A pad of elastomeric material having a softness of no more than about durometer 50 Shore 00. The pad may carry adhesive and/or a housing for adhering the pad to a surface, either directly or indirectly through an envelope which surrounds the pad and carries the adhesive. Such a pad exhibits hemostatic and leak prevention properties against needle puncture holes in the skin or the wall of a hollow medical device. Particularly, hemostasis may be prevented with low pressure application of the pad to the skin. The pad may be previously applied to the skin of the patient or a wall of a medical device such as tubing or a solution bag, and the needle may then penetrate both the pad and the skin or medical device wall, to make a resealable puncture with leakage reduction and hemostasis when the needle is withdrawn.

Abstract: Disclosed is a drug infusion system comprising a drug infusion device having a reservoir, a window for viewing the contents of the reservoir, a cannula arranged to be deployed beneath the skin of a patient, and an actuator configured to be manually actuated to drive a medicament from the reservoir to the cannula. The system also has a cannula cover and a needle handle that holds a needle for insertion into the patient. The cannula cover and needle handle are detachably attached to the drug infusion device, and each is attachable to the other. The device further comprises a septum and a septum pincher to seal the device. The device also comprises a pumping mechanism, part of which are a last-dose lock-out mechanism and an occlusion detection mechanism, both of which operate on the same actuator.