Abstract: The present invention provides a system and a method for distending a body tissue cavity of a subject by continuous flow irrigation by using a dynamic pump, such as a centrifugal pump, on the inflow side and a positive displacement pump, such as a peristaltic pump, on the outflow side, such that the amplitude of the pressure pulsations created by a the said outflow positive displacement pump inside the said tissue cavity is substantially dampened to almost negligible levels. The present invention also provides a method for accurately determining the rate of fluid loss, into the subject's body system, during any endoscopic procedure without utilizing any deficit weight or fluid volume calculation, the same being accomplished by using two fluid flow rate sensors. The present invention also provides a system of creating and maintaining any desired pressure in a body tissue cavity for any desired cavity outflow rate.

Abstract: A liquid delivery apparatus for the intrathecal delivery of one or more medications to a patient is disclosed. The liquid delivery apparatus generally includes a liquid reservoir, a liquid metering unit fluidly connected to the liquid reservoir, and a catheter delivery tube fluidly connected to the liquid metering unit. Preferably, the liquid delivery apparatus includes two or more liquid reservoirs. In various embodiments, the liquid reservoir includes a deformable balloon and a compressive sleeve spring as a pressure source, the liquid metering unit is a piezoelectrically actuated microvalve, and/or diagnostic sensors are included in the apparatus. The disclosed apparatus are compact, volume-efficient, energy-efficient, capable of delivering accurate fluid volumes, and address problems associated with multi-medication therapies. Methods of operating the liquid delivery apparatus are also disclosed.

Abstract: An implantable drug delivery apparatus for delivering a drug into a bodily fluid in a bodily cavity of a patient over a period of time includes a drug supply reservoir to supply drug into a delivery channel and an actuator for delivering the drug to a predetermined location in the bodily cavity of the patient, such as, for example, a cochlea of a human ear. The drug is loaded into the delivery channel while producing substantially negligible flow at an outlet of the delivery channel.

Abstract: Pneumoperitoneum needles for providing and/or insufflating a corporal and/or abdominal cavity are provided. The pneumoperitoneum needle can include a housing, an elongate tubular body extending from a distal surface of the housing, and an elongate hollow tubular rod slidably received within the tubular body. The tubular body preferably includes a passage formed therethrough for connection to a gas administration system. The tubular rod preferably includes a blunt distal end defining an opening, and a proximal end portion defining an opening formed therethrough.

Abstract: Fluid is pressurized and supplied to a fluid chamber with a fluid pressurizing and supplying unit. The pressurized fluid within the fluid chamber is ejected through an injection nozzle by reduction of the volume of the fluid chamber caused by applying a driving voltage to a volume varying unit. In applying the driving voltage to the volume varying unit, the effect imposed on fluid injection by pressure fluctuations of the fluid pressurized and supplied to the fluid chamber is compensated by changing the voltage waveform of the driving voltage. When the pressure of the supply flow amount is decreased to a pressure lower than a predetermined pressure, the time intervals of the driving waveform are corrected. The maneuverability of a fluid injection device does not deteriorate even when the pressure of the fluid pressurized and supplied to the fluid chamber fluctuates.

Abstract: A medical access device provides needleless access to patient fluid lines such as intravascular catheters. A retaining ring at the top end of the housing of the medical access device is molded around a septum that provides access for a tubular portion of a medical device such as a male luer taper of a syringe. Alternatively, the retaining ring may also be molded around the body or around both the body and the base of the housing. The molded retaining ring and septum are attached by mechanical attachment and/or chemical adhesion to minimize axial and rotational movement between the septum and the housing.

Abstract: An infusion device capable of administering liquid medication at a continuous flow rate, and upon user demand delivers a controlled volume dosage of liquid medication at a higher dosage flow rate. The dosage reservoir remains empty until the user actuates it by selectively and temporarily removing the pressure source, such as a spring. During actuation, fluid rapidly flows from the medication reservoir to fill the dosage reservoir. After actuation, the pressure source exerts a higher pressure on the dosage reservoir than the medication reservoir pressure, which results in a temporary higher bolus flow rate. Thus, two distinct flow rates are achieved with one flow restrictor element.

Abstract: A drug delivery device may include a drug reservoir configured to contain and controllably deliver a fluidic drug. A tube may be configured to deliver the fluid from the drug reservoir through a lumen in the tube to another location. A valve wholly within the lumen of the tube may regulate the flow of the fluid through the tube without substantially diverting the direction in which the fluid flows through the tube. The valve may contain only a single member which moves during operation of the valve. The valve may be configured to regulate the flow of fluid in a bandpass manner by allowing fluid to flow through the valve only when the pressure of the fluid is above a minimum and below a maximum. The valve may be held in place within the tube solely by frictional force between the valve and a wall of the tube.

Abstract: An apparatus for performing phlebotomy through a peripheral intravenous line is described herein. The apparatus includes an introducer and a cannula and is configured to advance the cannula through a peripheral intravenous line. A y-adapter with a port of larger diameter is configured to receive the cannula to place the cannula in fluid communication with the peripheral intravenous line. When advanced, the cannula is configured to transport a bodily fluid to a volume outside of the body.

Abstract: An apparatus to control blood flow through an intravenous catheter in accordance with the present invention may include a substantially resilient helical outer shell and an inner valve portion formed therein. The inner valve portion may be configured to open upon compressing the substantially resilient helical outer shell. In some embodiments, the inner valve portion may include mating portions that substantially align to provide fluid leakage therebetween. Compressing the substantially resilient helical outer shell by, for example, inserting a Luer device into a catheter adapter containing the substantially resilient outer shell, may cause the mating portions to misalign, thereby creating a fluid path.

Abstract: An administration feeding set for use with a flow control apparatus to deliver fluid from at least one fluid source to a patient. The set includes tubing for flow of fluid along a fluid pathway and a mounting member on the tubing adapted to engage the flow control apparatus. The mounting member has at least two receiving portions co-axial with the fluid pathway. The set also includes one or more identification members selectively positioned on one or more of the at least two receiving portions of the mounting member to permit identification of the administration feeding set as having a particular functional configuration different from another functional configuration.

Abstract: The present invention relates generally to a vascular access device having a septum positioned within a lumen of the device, the device further having a pusher for providing a fluid pathway through the septum. In particular, the present invention relates to systems and methods for improving flow of a fluid through the access device, while minimizing stagnation of fluids within the device. These systems and methods include various modified fluid pathways and interactions between the vascular access device body, the septum and the pusher.

Abstract: An introducer assembly includes a sheath having a sheath proximal end and distal end, and a passage therethrough. The introducer assembly further includes a valve assembly that is sealingly associated with the passage of the sheath. The valve assembly includes a valve having a first seal and a second seal, where the first and second seal optionally have different sealing properties. For example, the first seal and the second seal have different thicknesses, different sealing durometers, or otherwise different sealing features. In another option, the sheath is removable from the instrument disposed therethrough. In yet another option, the valve of the valve assembly further includes a chamber disposed between the first and second seals. The seals are spaced to accommodate devices with multiple flow holes therein.

Abstract: The present disclosure relates to a portable ampoule with a specialized tip and sealer. In a general aspect, the portable ampoule for dispensing fluid may include a body configured to contain cleansing solution. A neck may be coupled to the body and configured to control the flow of the solution. A tip may be coupled to the neck and have an aperture for solution release. A sealing device may be coupled to the tip and configured to seal the aperture. The sealing device may permanently unseal the aperture upon decoupling from the tip.

Abstract: A flow component for medical infusion/transfusion lines includes a tubular body having a side inlet connector, housed in a fluid-tight way in which is an elastic sealing element that can be traversed by a fluid introducer. The elastic sealing element has at least one axial cavity, which defines, for traversal by the fluid introducer, a diaphragm of small thickness.

Abstract: A mechanical injection device for injecting apportioned doses of a liquid drug. The injection device comprises a dose setting assembly comprising a cap and a cap receiving part, adapted to abut or engage with the cap when the cap is mounted on the injection device, and an injection assembly. Mounting and/or dismounting of the cap on/from the injection device causes the dose setting assembly to set a dose. Thereby a correct dose of drug is automatically set during a cap on/cap off cycle. Since such a cycle is normally performed between two subsequent injections, the number of steps required to be performed by the user is reduced.

Abstract: An anti-free-flow mechanism includes an occluder mechanism which is disposed along a segment of tubing and a mounting structure. The occluder mechanism is normally in a biased closed position, but may be moved into an open position by placement in the mounting structure. However, unless force is applied to keep the occluder mechanism in the mounting structure, the occluder will move relative to the mounting structure and return to the first, closed position.

Abstract: A catheter assembly (10) having an outer catheter (12) and an inner catheter (14) extending coaxially through the outer catheter, and a hub (16). The inner catheter (14) is axially movable within and with respect to the outer catheter (14) by use of an actuator assembly (130) such that the catheter assembly has an opened condition permitting fluid communication with vasculature of a patient, and a closed condition preventing fluid communication with the vasculature of the patient. The opened condition permits the intended use of the catheter assembly such as for hemodialysis of the patient. In the closed condition, locking solution may be maintained in the catheter assembly and later removed therefrom, with essentially no locking solution leaving the catheter assembly or entering the patient. The actuator assembly (130) is secured to a proximal end portion (128) of the inner catheter (14) as it protrudes proximally from the hub (16), where it is accessible to the practitioner.

Abstract: An insulin pump comprises a pump device, a control for the pump device, a memory, an operating element for operating the insulin pump and a method for controlling a user interface of the insulin pump are disclosed. The control is designed and programmed such that options for the user of the insulin pump are displayed by the user interface as a function of a user-specific preference profile stored in the memory and as a function of a current time and are provided for selection by using the operating element. The insulin pump can be designed in an auto-adaptive fashion, such that the control continuously updates the user-specific preference profile based on analyzing operating inputs of the user. Embodiments of the invention allow a large range of functions and simple operation, even in the case of miniaturized pumps.

Abstract: An apparatus for facilitating fluid flow between an internal body structure and a device external to the body comprises a housing having proximal and distal chambers separated from one another by a wall and fluidly connected to proximal port and distal ports. The wall includes a valve selectively sealing first and second openings thereof and a canopy biased toward a sealing position sealingly surrounding the first opening. The bias of the canopy is set to define a first pressure differential at which the canopy is moved out of the sealing position to permit fluid transfer therepast in a first direction. A duck-bill stem extends through the second opening and includes a lumen extending therethrough with walls of the stem being biased toward a sealing position and configured so that, when a second pressure differential is applied at at least a second level, the first end opens to permit flow therepast.

Abstract: Devices and methods for vacuum-assisted removal of surgically contaminated gas from an insufflated body cavity, the contaminants comprising smoke, aerosols, vapor, mist and the like generated during surgical procedures in order to clear the surgeon's vision of the surgical site and prevent exposure of the surgical staff to the gas. One embodiment of the present invention comprises a series of flow restriction devices to enable stepping down of the flow rate generated by an external vacuum. This reduced flow rate allows safe yet rapid removal of the toxic and vision-obstructing surgical byproducts from the patient's body cavity. The initial flow restriction device may comprise a perforated trocar sleeve in fluid communication with the vacuum source that allows retention of the surgical instrument within the trocar sleeve's inner lumen with concurrent smoke removal.

Abstract: A valve assembly for vascular access, comprising a body defining a lumen adapted for flowing blood, the body including a luer housing for connection with a first blood conduit and a barb housing for connection with a second blood conduit and a plurality of slitted membranes disposed within the body portion, each of the slitted membranes generating a partial pressure drop for flow therethrough, each of the partial pressure drops being smaller than a total pressure drop for flow through the body portion.

Abstract: A pressure actuated flow control valve for an infusion catheter permits gravity flow of a liquid through the catheter and into a patient while resisting back flow of blood from the patient and into the catheter. The valve has a hemispherical body with an outstanding circumferential flange and a normally closed, diametric slit. The slit is longer on the convex outer surface than on the concave inner surface. Dome thickness diminishes in the area adjacent the slit, reducing total apical deflection upon collapse of the slit toward the concave surface. An inner orthogonal rib biases the slit closed. Upon application of a predetermined pressure, the slit opens toward the concave surface to permit forward fluid flow. At lower pressures, the slit closes to check fluid flow. Greater reverse pressure is required to collapse the slit toward the concave surface to permit reverse fluid flow.

Abstract: A pharmaceutical composition liquid dosage form of phentermine is provided, the dosage form including a liquid carrier and suspended or dissolved therein one or more pharmaceutically active ingredient selected from phentermine, salts and bases thereof. Also provided is a method of administering phentermine to an obese patient in need thereof and for appetite suppression or related conditions.

Abstract: A valve assembly for controlling a flow of fluid includes a frame member and dual tubular valves arranged along the length of the frame member. The frame member includes fixed proximal and distal portions, and a rotatable intermediate portion. One valve is affixed between the proximal and intermediate portions, and the other valve is affixed between the intermediate and distal portions. The intermediate portion is selectively rotatable such that when one of the valves is in an open condition, the other valve is in a constricted condition.

Abstract: An ear medication delivery device for delivering a treatment liquid and retaining the treatment liquid within an ear canal of a patient including a unitary, one piece earplug formed of a soft resilient material including an ear canal engaging portion and an external portion and defining a single internal passage therethrough. The external portion includes a major disk and an annular medication applicator receiving portion in fluid communication with the internal passage. The ear canal engaging portion includes at least two minor disks of progressively different size extending outwardly in a generally radial direction. The ear canal engaging portion defines a molded resilient valve unitary with the earplug that is shiftable from a closed position to an open position in either direction under a preselected fluid pressure and that resiliently returns to the closed position below the preselected fluid pressure.

Abstract: System and components for inducing pleurodesis. A tube device is provided that is generally inert in a first state. The device includes a second state that is configured to provide one or both of mechanical and chemical stimulation to induce pleurodesis. Different sheath and tube configurations are provided for the actuatable features of the device.

Abstract: Devices and methods for delivering a therapeutic agent produced via a genetically-altered chondrocyte are provided. More specifically, the device includes a housing which defines a cell chamber configured to retain a large volume of chondrocytes while selectively releasing therapeutic agents produced via these entrapped cells. In an exemplary embodiment, the cell chamber can be configured such that a portion of cells can be positioned at least about 1.5 mm from an external wall of the device (i.e., about 1.5 mm away from an external nutrient supply). For example, the cell chamber can have a tubular configuration having a length and a diameter wherein each of these dimensions is at least about 3 mm (thereby the central core to the chamber is at least about 1.5 mm from the outer wall of the device).

Abstract: A medical stopcock which allows easier switching operation of plural branch-tubes. The main body of the stopcock comprises a chamber part with a nearly spherical inner surface, and an upstream branch-tube, a downstream branch-tube and a merge-branch-tube all extending from the chamber part. A valve body of the stopcock comprises a nearly spherical valve main body and a rod-shaped operating part with a guide hole linking the inner surface of the chamber part to the outside. In operation, the rod-shaped operating part is moved along the guide hole through the use of the horizontal flow passages and the vertical flow passage to allow the predetermined branch-tubes out of the upstream branch-tube, the downstream branch-tube and the merge-branch-tube to communicate with one another or to shut-off the communication.

Abstract: Automatic liquid drug preparation apparatus for preparing a liquid drug assemblage with a predetermined dosage of liquid drug. The liquid drug assemblage is prepared from a preparatory assemblage including a fluid control device having a body member with a syringe port, a vial adapter, and an administration port, a vial pre-filled with powder or liquid medicament, and a syringe pre-filled with diluent for mixing with the medicament. The automatic liquid drug preparation apparatus includes a housing, a cradle for receiving the preparatory assemblage, and a controller for controlling a motorized syringe drive unit for selectively transferring liquid contents between the syringe and the vial, a motorized cradle drive unit for selectively rotating the cradle relative to the housing, and a motorized vial adapter release unit for selectively detaching the vial adapter with its attached spent vial from the body member to form the liquid drug assemblage.

Abstract: A disposable intravenous flow control device (20) includes a rigid casing (21) defining a flow passage having a fluid entrance (23) and a fluid exit (22); a flow regulator (10) disposed in the flow passage of the casing (21) and comprising an annular flange (11) extending upward, a hollow, cylindrical protrusion (12) raised upward from a central portion, the protrusion (12) being open to the bottom, an open fluid storage (13) defined between the flange (11) and the protrusion (12), and a hollow, cylindrical skirt (14) extending downward from the bottom of the protrusion (12); and a suction cup (15) releasably secured to the skirt (14) for blocking the fluid exit (22) when fluid in the casing (21) is consumed.

Abstract: A system to minimize fluid turbulence inside a tissue cavity during endoscopic procedures. A body tissue cavity of a subject is distended by continuous flow irrigation using a solenoid operated pump on the inflow side and a positive displacement pump, such as a peristaltic pump, on the outflow side, such that the amplitude of the pressure pulsations created by the outflow positive displacement pump inside the said tissue cavity is substantially dampened to almost negligible levels. The present invention also provides a method for accurately determining the rate of fluid loss into the subject's body system during any endoscopic procedure without utilizing any deficit weight or fluid volume calculation, the same being accomplished by using two fluid flow rate sensors. The present invention also provides a system of creating and maintaining any desired pressure in a body tissue cavity for any desired cavity outflow rate.

Abstract: Some injectors of the invention may include a fluid drive responsive to pressure of a working fluid (e.g., liquid, pneumatic, or both) to impart a sequence of forces to drive a delivery device (e.g., a syringe) to deliver a medical fluid (e.g., a contrast agent, a radiopharmaceutical, a drug, or a combination thereof). Some injectors may include a multimedia tube configured to pass a working fluid (e.g., air) and a light signal (e.g., infrared). Some injectors may include a peristaltic drive responsive to pressure of a working fluid.

Abstract: Disclosed is a cannula including a first circumferential portion, a second circumferential portion, and a seal with a first clamping surface. The first circumferential portion and the second circumferential portion are configured to mutually cooperate to support a circumference of vasculature, and form a second clamping surface. The first clamping surface and the second clamping surface are configured to cooperate to secure an end of the vasculature.

Abstract: A drug delivery device which includes a fluid drug reservoir, a catheter, a controllable fluid transfer device, e.g., a pump mechanism or valve, and a drug delivery control means. The drug delivery control means comprises a controller, e.g., a microprocessor or microcontroller which is operable to automatically reduce the rate of drug delivery over a certain reduction interval (e.g., multiple days) from an initial dosage value to a final dosage value.

Abstract: Needleless access port valves are generally discussed herein with particular discussions extended to needleless access port valves having a resilient piston. The valve includes a valve housing having an inlet port, an outlet port, and an interior cavity with an upper shoulder and a lower shoulder. A resilient piston made of a homogeneous material is positioned within the interior cavity and is compressed by the upper shoulder and the lower shoulder of the valve housing.

Abstract: A valved male luer connector includes a resilient hollow element enclosing a tubular member having an inlet portion and an outlet portion. A collar is axially displaceable to cause a stretching deformation of the resilient hollow element so as to open a cut of a terminal wall thereof adjacent to an initial end of the inlet portion of the tubular member. The collar has a containment axial appendage of the resilient hollow element up to close to the terminal wall thereof. A stop means for limiting the stretching deformation of the resilient hollow element is provided for in the zone close to the terminal wall thereof.

Abstract: This relates to fluid delivery devices and methods and, more particularly, to implantable fluid delivery devices and methods of use. A flow restrictor for medical devices is described with particularly useful properties.

Abstract: A fluid delivery system and method for measuring flow at a patient utilizing a differential force sensor in order to precisely control the flow of fluid at very low flow rates. The system includes a fluid line through which a fluid is conveyed to the patient, and a flow controller that selectively varies a rate of flow of the fluid through the fluid line. The differential force sensor can be mounted very close to a point of entry of the fluid into the patient's body. An onboard communications device is controllably coupled to the flow controller and to the force sensor, responds to an output signal, and provides a feedback to the flow controller in a closed-loop process. The system can pump the fluid at a higher frequency until the flow rate is actually reached at the patient and then adjust to the flow rate needed to ensure patient health.

Abstract: Apparatuses and methods for coating and/or loading a medical device with a therapeutic agent prior to or during the placement of the medical device within the patient's body. In one variation, the medical device is coated and/or loaded with a therapeutic agent while the device is positioned in a delivery apparatus. In another variation, the delivery apparatus comprises a reservoir for retaining a therapeutic agent. The user may release the therapeutic agent from the reservoir prior to or during the placement of the device to coat and/or load the device with the therapeutic agent.

Abstract: A tool and method of positioning and delivering medical devices and therapeutics within the pericardial space, as well as other body part or space. A needle is inserted into the chest through a sub-xiphoid puncture, and the pressure within the needle is monitored manometrically or otherwise sensed as the needle is advanced towards the pericardial space. By reading the pressure within the needle while it is advanced, the clinician is able to know that he or she is avoiding insertion of it into organs or spaces not intended to be the target location. In addition the retractable sharp edge allows the operator to access the space and cut tissue but do so safely by retracting the sharp edge.

Abstract: A dosing device for an infusion system comprises a dosing unit having a variable volume and at least one opening in fluid connection with the variable volume, through which opening the variable volume can be filled with a substance or the substance can be dispensed from the variable volume. The dosing device is operable in a first state for filling the substance from a supply conduit, in a second state for preventing filling and dispensing, or in a third state for dispensing through a dispensing conduit. No direct fluid connection exists between the supply conduit and the dispensing conduit at any time. Methods for dosing a substance with the dosing device.

Abstract: An administering device for a fluid product includes a product receptacle that accommodates the product to be administered, a fluid reservoir for a driving fluid, a driving means, a product chamber, and a fluid connection. The product receptacle includes an opening at a forward end and a product stopper at a rear end. The driving means acts upon the fluid reservoir, the pressure chamber adjoins the product stopper while the fluid connection is located between the fluid reservoir and the pressure chamber, and the driving means acts upon the fluid reservoir in such a way that the pressure chamber is impinged upon by pressure which affects the product stopper and the product is discharged from the product receptacle.

Abstract: An improved implantable valve accumulator pump for the delivery of medication is disclosed. The implantable pump comprises a pressurized drug reservoir. The medication metering assembly comprises a fixed volume accumulator positioned between a pair of valves. The valves alternately open and close to admit medication from the reservoir into the accumulator and to dispense a precise volume pulse to an outlet catheter. In order to improve the pump's accuracy and to increase pumping volume while optimizing the pump's overall size and energy usage a two way diaphragm accumulator is used. The unit can be externally programmed or can be used in a fixed rate configuration that is never programmed but set at the factory or in the current programmable configuration.

Abstract: A hemostatic valve device for use in inserting an interventional device into a body lumen of a patient. The valve device includes a housing that defines a cavity between first and second end openings. A valve structure is disposed within the cavity, and defines a variable diameter channel for receiving the interventional device. An annular chamber is generally formed between the valve structure and the housing inner surface, and can be filled with fluid. The housing is movable between first and second positions so that the volume of the cavity and the diameter of the channel vary to a degree for the valve structure to form a seal along the interventional device inserted within the channel. The valve structure may be configured to seal without substantial twisting.

Abstract: A dispensing device for dispensing metered dosages of a medicament from a container includes a dispenser housing having a support block defining a longitudinal axis and an indicator housing disposed at least partially around the support block. An actuator includes a central, cylindrical hub portion adapted to be engaged by the container and centered about the longitudinal axis. The actuator is moveable along the longitudinal axis relative to the indicator housing and includes a resilient arm. A drive gear is rotatably disposed in the indicator housing and is rotatable in response to successive engagements by the resilient arm. An indicator is rotatably disposed in the indicator housing and is rotatable in response to the rotation of the drive gear. The indicator includes dosage indicia. A dispensing system and indicating device are also disclosed.

Abstract: A phacoemulsification irrigation sleeve includes an elongated, resilient, tubular body section configured to surround a portion of a shaft of a phacoemulsification needle, the tubular body section having a distal end and a proximal end, and an inner surface and an outer surface. An enlarged section formed on the proximal end of the tubular body portion surrounds a hub of the phacoemulsification needle and connects the irrigation sleeve to a phacoemulsification handpiece. The irrigation sleeve further comprises at least one slitted irrigation port formed adjacent to the distal end of the body section and configured to splay in response to a drop in pressure between the inner surface and the outer surface.

Abstract: A dose delivery device is disclosed where a dose can be set by rotating a dose setting member, whereby a push button is elevated from one end of the device a distance proportional to the set dose from a position fixed relative to the housing, and where the set dose can then be injected by pressing the push button back to its non-elevated position, through which motion a piston rod will move the same or a different distance due to a gearing mechanism being provided between the push button and the piston rod, where the gearing mechanism includes at least a first and a second thread on one or more parts that are rotationally coupled to each other, the first thread engaging a driver, the second thread engaging an element rotationally locked to the driver, one of the threads of the gearing mechanism being left-handed and the other one being right-handed.

Abstract: In one aspect, the invention provides methods and apparatus for delivering peritoneal dialysis (PD) solution (or other fluids), from a supply to a patient. A first pump, in fluid coupling with the supply, delivers PD solution from the supply to a “mesne” (or intermediate) measuring element, and generates signals indicative of a volume of that delivered PD solution. The mesne measuring element, in fluid coupling with the first pump, generates signals indicative of a volume of PD solution received from that pump. A second pump, fluidly coupled to the mesne measuring element, routes PD solution from the mesne measuring element for delivery to the patient.

Abstract: A catheter with a valve is disclosed that allows smooth flow of a solution when a solution is flowing from the inside of a catheter towards the outside of a catheter and when a solution is flowing from the outside of a catheter towards the inside of a catheter. The catheter includes a tubular body 12 made of an elastic and flexible synthetic resin material and is equipped with a valve having a slit 16 passing through the outer surface 12b of the tubular body. The catheter is also provided with the movable wall 15 sunken towards the inside of the tubular body 12 at an end tip member region 14 of the tubular body 12. The location where the movable wall 15 exists has a structure with differences in hardness in the thickness direction of the tubular body 12.