Abstract: A cap for intake and delivery of a fluid from a syringe is described. The cap includes an outer cap assembly comprising a fluid inlet path and a fluid outlet path and an inner cap assembly configured for insertion into a fluid nozzle of the syringe and to provide selective fluid communication between an interior of a syringe and the fluid inlet path or the fluid outlet path. The outer cap assembly is slidable relative to the inner cap assembly between a first filling position, where the interior of the syringe is in fluid communication with the fluid inlet path, and a second delivery position, where the interior of the syringe is in fluid communication with the fluid outlet path. Syringes including the cap are also described.

Abstract: The syringe includes a hollow body with at least one free-floating piston and a plunger within the body, with the piston between the plunger and a proximal end of the body. A manifold is provided lateral to the body. The manifold leads to an input/output tip. The manifold includes a front port located between the piston and the proximal end of the body and a rear port spaced from the proximal end of the body. The manifold includes at least one flow path leading from the input/output tip to at least one of the front port and/or the rear port. A first fluid fills a rear chamber distal to the piston and then the manifold is adjusted to fill second fluid into a front chamber proximal of the piston, and then the manifold is adjusted to allow sequential delivery of the second fluid and the first fluid.

Abstract: An infusion coupling allows administration of IV drugs to a patient through an IV fluid line, and ensures that successive courses of medication are fully passed or flushed from the line to prevent mixing of incompatible drugs in the IV line. The infusion coupling includes a vessel body, and a plurality of branch inlets to receive medication through IV tubing connected to the inlets. The vessel body has a generally cylindrical shape such that each of the branch inlets is in fluidic communication with the interior volume for receiving the IV fluids for transport. The inlets are angled on the body of the infusion coupling. A transverse bar or obstruction extends across an interior diameter of the infusion coupling for disrupting a circular flow that can result in a vortex. Formation of a vortex can retain the infused medication in the infusion coupling and result in mixing with successive medication courses.

Abstract: Disclosed is an irrigation system. The irrigation system includes a manual pump and refill. The manual pump can provide pressurized liquid through a tube at an outlet.

Abstract: The present invention provides an infusion-patch comprising; a cannula; a base; at least one adhesive region in said base suitable for skin attachment; at least one skin-access area within said base; and at least one conduit in fluid connection with said at least one skin access area, wherein said at least one conduit in fluid connection with said at least one skin access area facilitates the transfer of an anesthetic substance within at least a first anesthetic-reservoir which may be removably attached and in fluid connection with said at least one contact area, promoting delivery of said anesthetic substance to said at least one skin-access areas, and wherein said anesthetic substance delivered to said skin-access areas may be at least partially replenished without removing said infusion-patch. Embodiments of the present invention include methods of administering a drug using the infusion-patch.

Abstract: Exemplary embodiments provide a multi-medicament infusion system (10) for preventing the mischanneling of medicaments. The system may include an infusion pump (12), medicament reservoirs (16A,16B), a multi-channel lumen (18), and an infusion set (20). The medicament reservoirs may be sized and shaped differently such that the medicament reservoirs can only be inserted into the infusion pump in a unique configuration. The multi-channel lumen may include connectors that mate to corresponding connectors on the infusion pump and the infusion set only in a unique configuration. Because the various parts of the multi-infusion system may only be connected in the unique configuration, the expected medicaments may be administered appropriately and channeled to the correct infusion sites.

Abstract: An apparatus for filling a device having a penetrable septum and a sealed chamber. The apparatus includes a filling member engageable with the penetrable septum to penetrate the septum, port(s), and a closure. The closure and filling member are movable between (i) a first position wherein the closure closes the port(s), and (ii) a second position opening the port(s). The filling member and/or septum is movable relative to the other between (i) a first position wherein the filling member is spaced from the septum, and (ii) a second position wherein the filling member is penetrated through the septum and in communication with the sealed chamber. A locking device is movable between (i) a locked position locking the closure and/or filling member in the first position, and (ii) an unlocked position allowing movement of the closure and/or filling member relative to the other and into the second position.

Abstract: A medical syringe apparatus includes a syringe unit, a hypodermic needle attached to the syringe unit and at least one interfacing member for mating a labeled medication container to the syringe unit. A filling needle is attached to the syringe unit for drawing fluid from a container. A movable needle sheath protects the hypodermic needle when not in use and may be moved out of the way when administering an injection. The medication label is visible. The container remains mated to the syringe when the syringe is in use. Risk of mislabeling the syringe may therefore be substantially reduced or eliminated and patient safety may accordingly be improved.

Abstract: A biopsy assembly includes a catheter, a valve, a device having suction and pressure modes, and a loss of suction indicator. The catheter includes a proximal end, a distal end configured to capture a tissue sample, and defines a lumen therebetween. The valve defines a first port coupled to the device and a second port coupled to the proximal end of the catheter. When suction is applied to the first port, a suction path is defined from the distal end of the catheter through the lumen of the catheter and into the second port, such that the tissue sample is suctioned into the catheter. Upon loss of suction at the distal end, the pressure mode is used to define a pressure path from the first port to an open third port, expelling material therefrom. In the pressure mode, suction is maintained at the second port and catheter coupled thereto.

Abstract: An exemplary pumping-syringe device for allowing an operator to control a vacuum in a medical device and to expel samples without disconnecting the pumping-syringe device from the medical device. The pumping-syringe device includes a syringe section, a valve section that sealably connects to the syringe and a fitting section connected to the syringe section and the valve section and detachably connects to the medical device. The valve section includes two modes of operation. A first mode of operation allows fluid flow in a first direction between the syringe section and an external environment and a second mode of operation allows fluid flow in a second direction between the syringe section and the external environment.

Abstract: A multi-dose disposable fluid delivery system includes at least one fluid container, a multi-use fluid path set, and a plurality of single-use fluid path sets. The at least one fluid container has a connection port configured for fluidly connecting with a first end of the multi-use fluid path set. The second end of the multi-fluid path set is configured for fluidly connecting to a fluid injection apparatus. The plurality of single-use fluid path sets is connected in sequence to define a fluid path extending from a first single-use fluid path set to a last single- use fluid path set. Each of the plurality single-use fluid path sets has a first end and a second end. The first end of the first single-use fluid path set is configured for connecting to a delivery line. The second end of the last single-use fluid path set is configured for connecting to the injection apparatus.

Abstract: The present invention is an injection port with an articulated stopcock allowing a syringe to be connected to an IV line and, depending upon the orientation of the stopcock, allow (1) bidirectional flow of fluid through the stopcock into the IV line, (2) no flow or (3) unidirectional flow of fluid through the stopcock and into or out of the IV line. The invention is particularly useful for using a syringe for aspirating an IV line and then injecting a medicine from the syringe into the IV line. Once a syringe is connected, the invention allows one-handed manipulation of the articulated stopcock into the three orientations by simply moving the connected syringe into one of the three orientations, thereby eliminating the need for using two hands—one to operate the syringe and the other to operate the handle.

Abstract: A package for use with a beneficial agent delivery device. The package includes at least one filling chamber having a sealed penetrable access region, at least one compartment configured to hold a content, wherein the content includes at least one of a beneficial agent or a constituent of a beneficial agent, and at least one channel connecting the at least one filling chamber in fluid communication with the at least one compartment. At least a portion of the package is resealable to contain the content.

Abstract: A dispenser including a sub-assembly to engage and disengage a plunger rod. The sub-assembly minimizes the need for springs and other biasing members within the dispenser.

Abstract: A device for targeted delivery of a substance to an airway may include a conduit and at least two applicators. The conduit may include a proximal end and a bifurcated distal portion having two distal ends. Each applicator may be coupled with one of the distal ends of the conduit and may be configured to direct the substance out of the applicator toward one of two sides of an airway. A method for targeted delivery of a substance to an airway may involve advancing a substance delivery device into the airway, contacting two sides of the airway with at least two applicators of the substance delivery device, such that each applicator contacts the airway near a glossopharyngeal nerve and/or a superior laryngeal nerve on each of the two sides of the airway, and delivering the substance through the applicators to contact the airway along the two sides.

Abstract: For the treatment of the upper respiratory system is used sea water due to its due to its anaplastic, healing and hypertonic (osmosis) characteristics, deriving if it stays for adequate time inside the nasal conchas and nose cavities. This invention for its accomplishment, guarantees a stable column of water for adequate period of time in the nasal cavities and by the ingestion (Valsava) the water is pushed in the nasal conchas and the ducts of the nose sinuses and cavities and is consisted of Central storehouses (1) having a movable pin (4) with manually-operated provides water via the pipe (5) in the mouth (8). The central pipe (5a) provides the water to the nose and the small pipe (5b) to the periphery of the mouth (8) that expands it for its sealed application and is based in two edges (10). Alternatively the pipes (5) and the mouths are joined by one (5c) which is adapted in the entrance (12) of the bag (1a) with a pin (13), moved by electricity (13) or manually-operated.

Abstract: Systems and methods for nasal irrigation are provided in which a nasal irrigation device includes a source of saline, an effluent receptacle, a nasal interface, a vacuum source, a fluid passageway to communicate the source of saline with the effluent receptacle through the nasal interface and a nasal cavity of the user, and a switch and valve assembly for selectively controlling the vacuum source and flow of the saline through the fluid passageway. The saline source is disposed relative to the device to provide gravitational inducement of saline to the nasal interface in engagement to the device user's nostrils. A combination of the gravitational inducement and the relative vacuum from the effluent receptacle generates a fluid flow for irrigating, cleansing and massaging the nasal cavity and ostia of the user. The entire device is assembled as a hand-held device for convenient lifting and disposal against the user's nostrils.

Abstract: The present invention comprises methods and devices for generating and providing contrast medium for sonography of structures such as ducts and cavities. The invention provides for creation of a contrast medium comprising detectable acoustic variations between two phases, for example, a gas and a liquid. Sonography is the primary imaging technique but other conventional detection techniques may also be employed with the present invention.

Abstract: An enema includes a liquid in a dispenser having a bottle, a nozzle attached to the bottle, and a valve. The valve may be a membrane having a slit and a thickness of at most 0.90 mm. The valve may be attached to the bottle or it may be attached to the nozzle. The enema can be administered more easily, with a lower amount of force. A method of bowel cleansing includes inserting the enema into a rectum and applying a compression force to the enema bottle.

Abstract: A control module for a medical injection system generates an injection control signal based on sensed internal pressure of a user activated control device, for example, in response to an applied external force that causes the sensed internal pressure to increase from a baseline pressure, and continues to sense the internal pressure of the device, following release of the applied external force, so that, if the sensed internal pressure drops below the baseline pressure, the control module may generate a notification. Thus, an operator of the system may monitor internal pressure of the control device for a drop below the baseline pressure, and then, if such a drop is detected, inspect the control device for leaks and reconnect, replace or repair the control device, or simply reconnect or replace the control device.

Abstract: An assembly and method for percutaneous placement of a catheter comprising an elongated hollow catheter having a distal end and a reduced cross-section portion at a proximal end thereof. An introducer needle is slidably mounted over said catheter. The introducer needle has an elongated slit adapted to slide over the reduced cross-section portion to separate the needle from the catheter. A syringe may be attached to the proximal end of the catheter. Also, a valve may be attached to the catheter to permit easy collection of fluid.

Abstract: The present teachings provide one or more surgical instruments for repairing damaged tissue, such as in the case of a vertebral compression fracture. The present teachings can provide a bone cement system. The system can include a housing, which can define at least a throughbore that can extend from a proximal end to a distal end of the housing. The system can also include a dispenser housing received in the throughbore of the housing that is adapted to receive a bone cement. The system can include a plunger, which can be releasably coupled to the proximal end of the housing and received into the dispenser housing so that movement of the plunger can dispense the bone cement. The system can also include a pressure release system, which can be coupled to the housing and can be movable to release pressure within the dispenser housing without moving the plunger.

Abstract: A catheter for drainage of a wound and delivery of a therapeutic agent at or near the wound of a patient is provided. The catheter comprises: a proximal end configured to receive the therapeutic agent and permit passage of bodily fluid, the proximal end configured to be coupled to a drainage tube and/or a therapeutic agent delivery device; a distal end for insertion at or near the wound; and a body disposed between the proximal end and distal end of the catheter and configured to receive the therapeutic agent from the proximal end of the catheter, the body having a first set of holes configured to allow passage of the therapeutic agent from the proximal end to a site at or near the wound and the body having a second set of holes configured to allow drainage of bodily fluid from the wound into the catheter.

Abstract: An infusion device for continuous infusion of medication is disclosed, in which infusion is controlled over two separate fluid communications. The infusion is in each fluid communication controlled by restricting means and valve means, and one of the fluid communications further contains a holding device for bolus rate of infusion. The device comprises a flow regulating device comprising a passage defined by at least a first element and a second element, wherein at least one of the first and second element is a primary deformable element adapted to be elastically deformed so as to change the cross sectional area of the passage. Furthermore the device comprises a container for storage and supply of a medication in fluid form, said container comprising a first and a second chamber being arranged relatively to each other so that when volume of the first chamber increases the volume of the second chamber decreases.

Abstract: A transcutaneous implantable access port for removal and/or return of fluids of a patient comprises a fixation unit adapted to be fixed to a bone of the patient; a valve unit comprising a sealing membrane at its distal end and one or more chambers; an internal conduit fluidly connectable to vascular structure of the patient and releasably connectable to the valve unit to establish fluidic communication between the internal conduit and said one or more chambers; and an extracorporeal connecting member having an end portion. The extracorporeal connecting member is connectable to the distal end of the valve unit, opening and closing a fluidic passage between the connecting member and said one or several chambers when the connecting member is respectively connected to the access port and withdrawn therefrom. The access port can be used for high volume removal and/or return of blood or other fluids from the patient.

Abstract: A mechanical patient-controlled analgesia device for injecting medicine into a patient's IV, includes an IV reservoir and a syringe communicated to the IV reservoir and having a syringe plunger. A mechanical biasing element is provided for exerting bias on the syringe plunger in a first syringe-filling direction to draw medicine from the IV reservoir into the syringe. An injection plunger is operable by the patient to move the syringe plunger in a second injection direction against the bias to inject the medicine in the syringe into a patient's IV. The injection plunger is movable independently of the syringe plunger and is engaged with but unconnected to the syringe plunger when the patient moves the injection plunger to inject the medicine. The patient can inject only a calibrated amount of medicine drawn into the syringe as determined by calibration of the biasing element and a metering element for a given viscosity of the medication.

Abstract: Embodiments of a retractable syringe assembly are provided that include a dual syringe barrel configuration. In one or more embodiments, the assemblies include a fluid barrel for retaining fluid and a retraction barrel for housing the retraction feature and the needle hub assembly. The assemblies include a trigger element that moves with the plunger rod to activate the retraction feature within the retraction mechanism.

Abstract: The invention generally relates to internal (e.g., implantable, insertable, etc.) drug delivery devices which contain the following: (a) one or more sources of one or more therapeutic agents; (b) one or more first electrodes, (c) one or more second electrodes and (d) one or more power sources for applying voltages across the first and second electrodes. The power sources may be adapted, for example, to promote electrically assisted therapeutic agent delivery within a subject, including electroporation and/or iontophoresis. In one aspect of the invention, the first and second electrodes are adapted to have tissue of a subject positioned between them upon deployment of the medical device within the subject, such that an electric field may be generated, which is directed into the tissue. Furthermore, the therapeutic agent sources are adapted to introduce the therapeutic agents into the electric field.

Abstract: An apparatus for percutaneous delivery of a sealant comprising: at least two fluid reservoirs, an introducer needle having a distal tip that is in fluid communication with at least one reservoir, a fluid delivery tube that is in fluid communication with a second reservoir, wherein the fluid delivery tube has a tip and wherein the fluid delivery tube is configured so that the tip of the fluid delivery tube does not extend past the distal tip of the introducer needle during use.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

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

Abstract: This kit includes an injection device comprising a needle having a free end pricked into a septum of an implantable chamber and an intermediate tubing connected downstream to the needle. The kit includes an upstream conduit having an upstream end connected to a liquid dispensing apparatus and a downstream end removably connected to the intermediate tubing. The pressure loss through the upstream conduit is greater than 25% of the total pressure loss taken between the upstream end of the upstream conduit and the free end of the needle, upon injecting liquid through the upstream conduit and the injection device.

Abstract: A catheter syringe conveyor with a needle guard housing is adapted to facilitate the insertion of a catheter into a targeted blood vessel. A catheter syringe is slidably situated within a hand-held housing structure; a syringe holder that is slidably connected to the housing allows a technician to maneuver the catheter syringe up and down within the housing. At least one stabilizer finger is attached to the bottom of the housing. After a blood vessel is penetrated by the needle of the catheter syringe, the technician maneuvers a catheter pusher to lower the catheter off of the needle and into the blood vessel. After the catheter is inserted, the technician is able to slide the catheter syringe back up within the housing to move the needle within the protective walls of the housing for safety, and a syringe lock holds it there securely for safekeeping.

Abstract: A fluid dispensing device, particularly suited to medicine but also having many other applications. The device selectively dispenses any of one or more fluids contained within the device. Adapters on the dispensing end of the unit permit the device to be effectively used for intra-venous, intra-dermal or intramuscular injections, gasses, colloids, gels, liquids or other fluids. Adapters on the head of the unit permit the device to be used with or without electrical power and to varying degrees of automatic control for timing, sequence, volume of fluid dispensed and other features. A preferred embodiment utilizes a pre-formatted, disposable or re-useable cartridge of several drugs suited for a particular medical purpose.

Abstract: A needleless injection device with a lower part receiving the agent cartridge and an upper part providing the energy needed for injection. The upper part contains energy store units capable of elastic form-change. Rotating the lower part in relation to the upper part causes the lower part to move along the longitudinal axis toward the upper part, resulting in the tension state of the energy storage structural elements. Furthermore, the device has a lock maintaining the tension of the energy storage units and component to release the lock. Among the energy storage structural parts there is at least one start unit capable of storing at least 60% of the total discharge energy (pressure), with the reversible elastic distortion not exceeding 25% of the internal length of the agent cartridge. The device has separate structural components for stretching the start unit and limiting its relaxation.

Abstract: An intravenous catheter introducing device includes a needle hub slidably inserted into a barrel and holding a needle cannula, a biasing member disposed to bias the needle hub to a rear position so as to retract the needle cannula in the barrel, and an easy release unit including an engaging wall segment which is attached to an outer surface of the barrel, two flexible squeezed wall segments which extend from the engaging wall segment and which is squeezable so as to move two latch members to steer clear of a retained end of the needle hub through an access hole in the barrel, thereby permitting the biasing member to bias the needle hub towards the rear position.

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

Abstract: Drug delivery devices adapted to receive liquid medication vials to fill a reservoir, utilize sliding through valves that are closed except when driven by force of liquid medication pushed by a plunger to an open position to feed the medication via needle to a patient or via a connection to an IV port. The devices have multiple seals and automatically close up when pressure on the plunger is released. The methodology is also included.

Abstract: A device for treating a fluid-like sample, in particular whole blood, with treatment fluid. The device comprises a tubular container with a first piston and a second piston, with a piston gap between them in which the treatment fluid is located in the initial position. The device further comprises an inlet port to which a capillary can be connected and an outlet port to which a filter can be connected.

Abstract: An access system for providing subcutaneous access to a vessel, organ, or body cavity comprises a needle and a rigid or semi-rigid tunneler arranged coaxially around the needle, such that the needle moves slidably within the tunneler. Optionally a sheath may be positioned coaxial to the tunneler. The tunneler-needle system is inserted through an incision in a patient's skin to initiate a procedure whereby a catheter is inserted into the vessel, organ, or body cavity.

Abstract: A syringe for connection to a fluid container containing fluid to be discharged comprises a syringe barrel with a plunger moving therein, and a discharge outlet, through which fluid contained in the fluid container is dischargeable by actuation of the plunger, said syringe barrel being connected with the fluid container port and the discharge outlet via a fluid channel system, and a valve mechanism being provided in the fluid channel system, allowing the syringe barrel to be filled with fluid from the fluid container and to then discharge said fluid through the discharge outlet, wherein the valve mechanism comprises a valve member which is movable between first and second positions, said valve member, in said first position, allowing fluid flow from the fluid container to the syringe barrel and simultaneously blocking fluid flow from or to the discharge outlet and, in said second position, allowing fluid flow from the syringe barrel to the discharge outlet while simultaneously blocking fluid flow from or to t

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

Abstract: A method and apparatus are disclosed that allow more efficient volume use of a reservoir used in medical infusion devices, such as insulin pumps. The invention provides for having a full reservoir and a full tubing composite when infusion of medication into a patient begins, allowing a volume of medicine substantially equal to the volume of medication in the full reservoir to be infused into the patient.

Abstract: A device for painlessly injecting medications, and a method for providing a substantially painless injection of medication into a patient that does not require the use of an anesthetic, that does not require the medical personnel to spend a substantial amount of time performing the injection procedure, that is relatively simple and inexpensive to perform and operate, and that provides a relatively high degree of safety for both the medical personnel and for the patient. The injection needle can have an outside diameter greater than 0.20 mm and less than about 0.38 mm. The medicament can be injected painlessly through the needle and into the patient at a substantially constant volumetric flow rate of about 0.05 &mgr;L/s to about 50 &mgr;L/s.

Abstract: The present invention relates to a drug delivery device for mixing and delivering a drug by injection. The device includes a housing having a first port or opening therein that receives a first container that contains a fluid or powdered drug, for example a lyophilized drug. The housing can also include a second port or opening that receives a second container that contains a fluid to be mixed with the drug to form an injectable fluid. The device includes a manifold having a channel that fluidly connects the first and second containers. A penetrating membrane such as a needle is used to inject the drug into a patient which is in fluid communication with the first container. The needle is movable from a storage position in the housing to an injection position extending through the housing.

Abstract: The present invention relates to a drug delivery device for mixing and delivering a drug by injection. The device includes a housing having a first port or opening therein that receives a first container that contains a fluid or powdered drug, for example a lyophilized drug. The housing can also include a second port or opening that receives a second container that contains a fluid to be mixed with the drug to form an injectable fluid. The device includes a manifold having a channel that fluidly connects the first and second containers. A penetrating membrane such as a needle is used to inject the drug into a patient which is in fluid communication with the first container. The needle is movable from a storage position in the housing to an injection position extending through the housing.

Abstract: A disposable unit-dose jet injection syringe having a cylindrically shaped syringe body. The syringe body has a rear open end and a forward closed end. The rear open end has an enlarged diameter forming a flange that retains the syringe to the driving system during the injection cycle. The closed end has an small area coined by a stamping process. A jet orifice is punched through the small area of the closed end. A cavity formed in syringe body is configured to hold a unit dose of liquid, drug, or biological. A piston is slidably engaged within the body to inject the unit dose. A driving system activates the piston to inject the unit dose out of the jet orifice. A method of manufacturing a jet injection syringe is also provided. A method of injecting a medicine is also provided.

Abstract: A method and apparatus for a connection interface between a reservoir or syringe, infusion set tubing, and an infusion pump is provided. A base is provided which is adapted to receive a reservoir. The base has a base engagement member, such as a detent, projecting therefrom. A cap is provided which is adapted to receive the base. The cap includes a first cap engagement member, such as a detent opening, which is adapted to removably engage the base detent. The cap further includes a second cap detent opening which is adapted to removably engage the base detent. A piercing member, such as a needle, is disposed in the interior of the cap in such a manner that the needle is separated from the reservoir septum when the base detent is in the first cap detent opening, and the needle pierces the reservoir septum when the base detent is in the second cap detent opening.