Abstract: A nitric oxide gas-releasing conduit configured for surgical implantation through a patient's tympanic membrane. The nitric oxide gas-releasing conduit comprises a gas-permeable cured resin material configured for releasably sequestering therein gas. The gas-permeable cured resin material is charged with nitric oxide gas. The nitric oxide gas-releasing conduit may be optionally coated with an antimicrobial gas-releasing composition. The gas-releasing coating composition may be configured to release nitric oxid.

Abstract: A medical appliance having a metal surface in which a hydrophilic organic compound having a polar group is directly fixed to the metal surface in accordance with an electrochemical reaction without intermediate layers; and a process for producing a medical appliance which comprises dipping a material for a medical appliance having a metal surface and an electrode into a solution comprising a hydrophilic organic compound having a polar group, and fixing the hydrophilic organic compound to the metal surface of the material for a medical appliance in accordance with an electrochemical reaction by applying a voltage between a cathode and an anode using the material for a medical appliance as the cathode and the electrode as the anode. The medical appliance exhibits excellent lubricating property since the metal surface is tightly coated with a thin layer of the hydrophilic organic compound.

Abstract: The disclosure provides for devices and coatings that are substantially free of organic solvent sand suitable for insertion into a patient, and that comprise a metal layer and a coating with a thickness of about 20 nm to about 2000 nm wherein the coating comprises a biocompatible polymer comprising at least one residue covalently bonded to a nitric oxide generating compound.

Abstract: A non-invasive device for lubricating and facilitating the insertion and removal of an endoscope into a body cavity. In one embodiment, the device consists of an annular outer tube having an inner diameter sized to permit sliding of an endoscope there through. The outer surface of the outer tube may be suitably textured for improved gripping. A reservoir is positioned on the outer tube and may be compressed to discharge lubricating fluid on a passing endoscope. The tube surface is textured to enhance control and ergonomics and is flexible to allow manipulation, removal and placement. A flange may be positioned at the proximal end of the tube to provide a barrier to movement of excess lubricant onto the central portion of the tube. The invention also comprises the use of a reservoir for lubricants to be applied to the endoscope as it passes through the device and the enhanced control by way of a threaded internal pattern that engages an endoscope outer surface.

Abstract: Devices and methods for delivering a therapeutic substance to a patient are provided. Embodiments include infusion sets that include an active agent. Also provided are systems and kits.

Abstract: A catheter assembly (110, 210) comprising a catheter (130, 230) and a receptacle (120, 220) is disclosed. The receptacle is arranged to accommodate at least part of said catheter and having at least one opening (123) for withdrawal of said catheter. Further, the receptacle is provided with an antimicrobial compound (301) at least in the vicinity of the opening and at least on the outer surface of the receptacle, said antimicrobial compound inhibiting microbes from being transferred to said catheter while being withdrawn through said at least one opening.

Abstract: A medical device lubricating assembly for imparting a lubricious and/or antimicrobial liquid onto a medical device is provided. The medical device is surrounded by a pouch and the assembly includes a barrier for bifurcating the pouch into a wet compartment and a dry compartment. Lubricating fluid is stored in the wet compartment or is otherwise introduced into the wet compartment prior to removal of the medical device from the pouch. This assists in insertion and implantation of the device into a body cavity or opening.

Abstract: Described herein are peptides having antimicrobial activity (antimicrobial peptides). The antimicrobial peptides, designated LBU, WLBU and WR, are analogs of the Lentivirus Lytic Peptide 1 (LLP1) amino acid sequence. The antimicrobial peptides are monomers or multimers of peptides referred to as the Lytic Base Unit (LBU) peptides, derived from the LLP1 analogs and also having antimicrobial activity. Also described herein are using the peptides in a variety of contexts, including the treatment or prevention of infectious diseases. Methods of killing fungi, such as Candida and Cryptococcus species, and bacteria, such as B. anthracis, are provided herein. Methods of neutralizing enveloped viruses, such as poxvirus, herpesvirus, rhabdovirus, hepadnavirus, baculovirus, orthomyxovirus, paramyxovirus, retrovirus, togavirus, bunyavirus and flavivirus, including influenza virus and HIV-1 also are provided herein. Solid phase substrates and peptide-cargo complexes comprising the peptides also are provided.

Abstract: A medical device assembly for imparting a lubricious and/or antimicrobial liquid onto a medical device is provided. The medical device is surrounded by a pouch and includes a burst package or frangible cells for storage of the liquid prior to delivery onto the surface of the medical device. This helps prevent contamination of the medical device upon removal of the medical device from its pouch, insertion of the device into a body cavity, and implantation of the device into the body cavity.

Abstract: The present disclosure provides a composite surgical seal for use in a surgical access device which defines an access channel through it and includes a seal member configured and dimensioned to form a seal with a housing interior wall of a surgical access device. The seal member includes a layer defining an orifice therethrough and a fabric layer substantially encapsulating the resilient layer such that a surface of the resilient layer which defines the orifice is covered by the fabric layer. The access channel is configured and dimensioned such that insertion of a surgical instrument into the access channel causes the seal member to form a substantial sealing relation with the surgical instrument inserted therethrough. A method of forming a composite surgical seal in accordance with the present disclosure is also provided herewith.

Abstract: The invention relates to compositions comprising silicone elastomers and antimicrobially active substances in homogeneous distribution, a process for their production and their use in medical articles.

Abstract: Systems, devices and methods for eluting an agent at a treatment site are disclosed. The devices include an expandable frame and at least one membrane. The membrane may carry an agent to elute at the treatment site. The membrane may allow blood flow at the treatment site during agent delivery.

Abstract: A microdialysis catheter for partial implantation is used to supply a perfusion fluid and remove a dialysate, such as glucose, and comprises a carrier, at least one opening in the carrier, and a non-porous coating over the opening. The carrier contains at least one channel for supplying a perfusion fluid and for removing a dialysate and an area intended for implantation. The opening on the carrier has a connection with the channel for the passage of fluid. The non-porous coating is externally bonded to the carrier. The non-poroous coating is diffusion-permeable to an analyte and covers the area intended for implantation and the opening. A process for manufacturing the microdialysis catheter is also disclosed.

Abstract: Medical devices can include a lubricious coating that is slippery when wet.

Abstract: A medical device having a lubricious coating on at least a section of the medical device, and a method of coating a medical device, the lubricious coating being a network of a hydrophilic compound cross-linked to itself and interlocked with a network of a cross-linked polymerized multifunctional monomer or polymer. The coating can include one or more agents which provide enhanced adhesion of the coating on the device, or which provide faster hydration of the coating and/or improved lubricity. Additionally, the lubricious coating can be provided with one or more therapeutic or diagnostic agents, and in one embodiment the agent elutes relatively quickly in a concentrated release from the lubricious coating upon hydration of the coating.

Abstract: The invention is an antimicrobial photo-stable coating composition that deters photo-induced discoloration, does not stain tissue and can be applied to the surface of a variety of medical materials. The composition comprises in an aspect silver-PCA complex and dye.

Abstract: The present disclosure provides substrates having a lubricious coating thereon. The substrate may be flexible and include, in embodiments, a medical device. The lubricious coating, in embodiments, is applied in a pattern so that the coating avoids delamination and/or fracturing which might otherwise occur as the substrate flexes and/or stretches.

Abstract: A method for immobilizing dyes and antimicrobial agents on a porous surface is disclosed and described. The surface may be that of a medical device, such as a catheter, a connector, a drug vial spike, a bag spike, a prosthetic device, an endoscope, and surfaces of an infusion pump. The surfaces may also be one or more of those associated with a dialysis treatment, such as peritoneal dialysis or hemodialysis, where it is important that working surface for the dialysis fluid be sterile. These surfaces include connectors for peritoneal dialysis sets or for hemodialysis sets, bag spikes, dialysis catheters, and so forth. A method for determining whether a surface has been sterilized, and a dye useful in so indicating, is also disclosed.

Abstract: This invention relates to a method of providing a coating on a medical device, especially a dilatation balloon, which improves the durability of the balloon.

Abstract: A predetermined arrangement of differentially lubricious areas on a balloon catheter for controlling against unexpected movement of a stent carried thereon when in situ in the body.

Abstract: This invention proposes a urinary catheter set with a urinary catheter disposed in a sterile package, which urinary catheter has a catheter shaft, a catheter tip and a preferably funnel-shaped end on the collecting pouch end, with a cuff being disposed in the package, which cuff encloses the catheter shaft. The cuff is preferably disposed so as to be movable along the length of the catheter shaft.

Abstract: Articles having reduced sliding frictional force comprising a lubricant applied to one or more surfaces of the article, and the lubricant-coated surface treated by exposing the surface to an energy source, wherein the energy source is an ionizing gas plasma at about atmospheric pressure. The ionizing gas plasma may be a flame plasma. One or more of the surfaces may be exposed to the ionizing gas plasma at about atmospheric pressure prior to application of the lubricant.

Abstract: High flow rate catheters, and related methods, are useful in dialysis and other procedures. A catheter according to the invention comprises a hub and a generally elongated conduit. The conduit has a substantially continuous and smooth wall. The conduit also defines at least one lumen and has a length extending from a proximal end to a distal end of the conduit. The proximal end is coupled to a hub and the distal end has an opening in communication with the lumen. The conduit has a conical shape which tapers along the length.

Abstract: Topical compositions having as the active ingredient a lipid, fatty acid ester, natural wax, sterol, or combinations thereof referred to herein as “lipophilic vehicle” or “LV” and methods of use, have been developed for the amelioration or prevention of pain or the sequelae of pain. The composition may be in the form of an ointment, cream, gel, lotion, spray, foam, paste, patch, suspension or dispersion. In the preferred embodiment, the formulation is a gel. The LV may contain a penetration enhancer, most preferably one with membrane disruptive properties. The formulation may be applied to or impregnated into a gauze, wrap, bandage, cotton-tipped stick, adhesive bandage strip, or other support wrap or medical bandage or wound cover. For example, the compositions may be are incorporated onto or into disposables such as hemorrhoid wipes, sponge, mouth guards, dental trays; needles or catheters; adult diapers; gloves, socks or wrist bands, for ease of application.

Abstract: This invention relates to an improved process for obtaining a cross-linked polymer coating on a surface. The invention also relates to coatings obtainable by that process and objects coated therewith. The invention also relates to medical devices comprising a coating, in particular to coils coated with an improved lubricious coating.

Abstract: An intravenous port and method of sterilizing an intravenous port via an ultraviolet (UV) light source are provided. The port comprises a catheter capable of being inserted into a blood vessel and an access head having a signal receptor, such as an antenna, and ultraviolet light source such as for example a light emitting diode (LED). A transmitter is further provided for delivering an electrical signal from a power source to the UV light source. The light source is suitable for directing UV light of a predetermined wavelength through the lumen of the catheter in a manner that incapacitates microorganisms residing in the catheter. The UV light is transmitted through the lumen of the catheter through a sterile solution that can be inserted into the port.

Abstract: A formulation and method for providing medical devices with a lubricious and non-toxic coating Medical devices having a lubricious, non-toxic coating.

Abstract: A multi-lumen endotracheal tube has means for coating an inside and an outside surface of the endotracheal tube with antimicrobial and antibiofilm agents; means for releasing antimicrobial and antibiofilm agents from the endotracheal tube; means for using electrical current to enhance the efficacy of the antimicrobial and antibiofilm agents; and means for using ultrasound energy to enhance the efficacy of the antimicrobial and antibiofilm agents. In another feature of the present invention, the multi-lumen tube further has an outer lumen, and a concentric inner lumen, and the outer lumen contains the means for coating, the means for releasing, the means for using electrical current, and the means for using ultrasound energy. In another feature of the present invention, the inside and outside surfaces have a surface coating to reduce the buildup of bacteria and biofilm on the surface.

Abstract: A kit for self-catheterization is disclosed. The kit includes a sealed enclosure including a fastener for fastening the enclosure to an individual and self-catheterization supplies located within the enclosure, wherein the supplies include a catheter, lubrication, gloves and an antimicrobial agent. The kit further includes a separate sealable compartment within the enclosure for receiving drained urine during self-catheterization. In one alternative, the fastener comprises a cord for placement around the individual's neck, wherein the enclosure is coupled to both ends of the cord. In another alternative, the fastener comprises a hook and loop element for attaching the enclosure to the individual's clothing.

Abstract: A balloon catheter having a balloon with a reduced slippage lubricious coating, and a method of performing a medical procedure such as a balloon dilatation procedure in a patient's blood vessel. The second coating (i.e., the balloon coating) is lubricious to facilitate movement of the catheter in the patient's body lumen, yet has sufficiently low lubricity such that the slippage of the inflated balloon from a desired site within the blood vessel is reduced compared to a balloon coated with the first lubricious coating.

Abstract: The disclosure is directed to radiation catheter devices, methods for controlled application of irradiation to tissue at a body site, such as a cavity formed after removal of tissue, e.g. cancer, using such radiation catheter devices, solutions for forming a more lubricious luminal surface and method for lining lumens of such devices to improve the frictional characteristics thereof. The catheter device includes a flexible elongated shaft which is formed of low durometer polymeric material, which can be readily folded or coiled for securing the shaft to or under the skin of the patient and a radiation lumen lined with high durometer polymeric material to improve the frictional characteristics. The elongated shaft has at least one inner lumen for receiving a radiation source which has a layer of high durometer polymeric material that provides lower surface friction to facilitate advancement of a radiation source therein.

Abstract: The apparatus and method for preparing a polymeric structure from which a number of medical devices may be constructed is described. The structures are preferably formed from bioabsorbable materials using low temperature fabrication processes, whereby drugs or other bio-active agents are incorporated into or onto the device and degradation of the drugs or other agents during processing is minimized. The method includes preparing a solution of at least one bioabsorbable polymer and a solvent. The solution is then deposited onto a stage and converted into a structure. The solvent is evaporated from the structure. The dried solution forms a structure that is removed from the stage and further dried before being stored in an inert environment. Thereafter, a medical device such as a stent may be constructed from the structure.

Abstract: Medical tubes are well balanced in transparency, flexibility, heat resistance, scratch resistance and rubber elasticity. The medical tubes including a propylene polymer composition (A) that contains a polymer with propylene units, at least part of the polymer having an isotactic structure and the total of the propylene units of the polymer being in an amount of 65 to 82 mol % (the total of the structural units of the polymer in the composition is 100 mol %), and that satisfies the following (a1), (a2) and (b1): (a1) the modulus in tension is in the range of 5 to 25 MPa as determined in accordance with JIS K 6301; (a2) the penetration temperature is 120° C. or above as determined in accordance with JIS K 7196; and (b1) when a tube being made of the composition (A) and having an inner diameter of 2.1 mm, an outer diameter of 3.

Abstract: The present invention provides a safety needle/catheter system and method of use for dialysis procedures. The invention includes a safety feature that prevents inadvertent needle sticks by administrators. The invention further includes a catheter portion composed of shape memory materials. The catheter portion has a deformed shape and size that facilitates insertion of the catheter portion and closure of the catheter incision and a recovered shape and size that can reduce the severity of infection and/or clotting, as well as provide improved maintenance and control over proper fluid volume flow during dialysis.

Abstract: The present invention relates to implantable medical devices and methods that employ these medical devices to treat heart valves. In one embodiment, a medical device is provided comprising a body. The body may have a portion thereof including therapeutic agent and can be configured to support the device proximate a heart valve. Methods in accordance with embodiments of the present invention may also include providing a medical device having a body with at least a portion thereof including a therapeutic agent. These methods may also include positioning the medical device in a location proximate to a downstream surface of the heart valve and securing the device. The therapeutic agent released may then be delivered to the heart valve.

Abstract: Treating of localized bacterial infection, comprising locally applying Taurolidine to the infection. A device for insertion into the body, the device comprising Taurolidine to render the device infection resistant. A medication for treating bacterial infections, comprising Taurolidine carried by one of: gels, liquid, thixotropic gels, colloidal mixtures, dispensal suspensions, injectable polymers, or a microparticle. A method for treating blood, comprising: removing blood from the body; treating the blood with Taurolidine; and returning the treated blood.

Abstract: A lubricant coating vehicle for medical devices used to reduce the coefficient of friction of such devices upon exposure thereof to moisture. The lubricant coating vehicle allows the introduction of a pharmacological additive having a release rate that is within acceptable pharmacokinetic criteria. The release rate is adjusted by utilizing different salt forms of the additive and adjusting the concentration of a urethane pre-polymer.

Abstract: A catheter includes a tubular body having an outer surface, and a sleeve disposed on only a portion of the outer surface of the tubular body. The sleeve includes an outer layer overlying an inner layer. The catheter contains a water-soluble, anti-microbial agent in the outer layer of the sleeve. Methods of making the catheter are also disclosed.

Abstract: A medical device includes an antimicrobial layer. A method of depositing an antimicrobial agent on or in the body of a medical device includes inserting a high temperature resistant tube having multiple holes through its surface into a vascular access device and coating, or delivering an antimicrobial agent to, and interior surface of the device.

Abstract: A material composition, including metallic nanoparticles of silver, silver alloys, or copper, having antimicrobial properties is disclosed. The metallic nanoparticles are embedded or encapsulated in a matrix formed of chitosan or chitosan derivative-based compounds.

Abstract: A vapor hydrated packaged catheter assembly and method of manufacturing and distributing same includes a gas impermeable package housing a catheter within a catheter-receiving cavity. The catheter assembly has a hydrophilic coating applied to at least a portion of the outer surface of a catheter tube or shaft which may be surrounded by a sleeve to provide a no-touch, sure grip feature. The catheter assembly is disposed within the catheter receiving cavity of the package together with a limited amount of a vapor donating liquid provided as a source of vapor to activate the hydrophilic coating. The amount of vapor donating liquid is less than the amount that would otherwise be sufficient to cause a spill hazard. It may be loose liquid as a desired percentage of the volume of a tube-receiving portion of the catheter receiving cavity of the package, or it may be contained in a liquid sequestering element.

Abstract: A system comprising an implantable medical device and a second polymeric layer configured to be disposed on or about the implantable medical device is described. The device includes a first polymeric layer into which a first therapeutic agent is incorporated. A second therapeutic agent is incorporated into the second polymeric layer. The device is sterilized by a first sterilization method. The second polymeric layer is sterilized by a second sterilization method. A method for making a sterile implantable medical system is also described. The method includes incorporating a first therapeutic agent in a first polymeric material and disposing the first polymeric material on or about an implantable medical device. The first polymeric material and the implantable medical device are sterilized by a first sterilization method.

Abstract: A shaped medical device article prepared from a polymer melt composition comprising a polymer ester, a transesterification catalyst, and a tri- or tetraalkoxy silane, by forming and solidifying said composition, and after solidification, subjecting the composition to reaction conditions to effect hydrolysis at least some alkoxysilyl groups remaining in the composition to form silanol groups and to effect condensation of said silanol groups to form a ceramic network. The polymer ester may be a vinyl ester homopolymer or copolymer, or a polymer having ester groups in the backbone thereof.

Abstract: An elongate medical device configured for at least partial implantation or insertion into a subject. The medical device has at least one surface that contains one or more depressions, which are at least partially filled with a soluble material. Also described methods of making such devices.

Abstract: A polymer blend that contains a polymer of fluorinated monomers and another biocompatible polymer. The polymer blend can form a coating on a medical device. The medical device can be used for treat, prevent or ameliorate a medical condition.

Abstract: Described is a catheter which includes a reinforced polymer shaft. The polymer includes nano particles having a dimension of less than about 6 nm. Described is also a method of forming a medical device. Granules of a selected polymer are prepared. Reinforced granules of the selected polymer are prepared. The reinforced granules include nano particles. The granules and the reinforced granules are then mixed in a ratio selected to obtain a desired concentration of the nano particles. The granules and the reinforced granules are extruded to form a substantially tubular element.

Abstract: The present invention relates to a process for preparing antimicrobial plastics compositions comprising a thermoplastic, particularly of thermoplastic elastomer, and at least one pulverulent antimicrobial active ingredient, specifically from the group of the bis(4-amino-1-pyridinium)alkanes, and to the use of this plastics composition for catheters and other medical-technology products.

Abstract: According to an aspect of the invention, an indwelling catheter is provided which comprises a catheter shaft. The catheter either comprises a light source or is adapted to receive light from a light source, and is configured such that light is transmitted from the light source into the catheter shaft. Moreover, the catheter shaft is formed of a polymeric material that transmits a quantity of light from the light source that is effective to inactivate microorganisms on a surface of the catheter shaft upon activation of the light source. For example, the light may inactivate the microorganisms directly or in conjunction with a photosensitizer. According to another aspect of the invention, a sterilization method is provided, which comprises activating the light source while the catheter is inserted in a subject.

Abstract: A percutaneous access device is provided including a sleeve having an inner lumen extending therethrough that is adapted to slidably receive a catheter, and at least one flange disposed around the sleeve and adapted to be positioned adjacent a tissue surface. In a preferred embodiment, the device includes a first flange disposed around the sleeve and adapted to be positioned adjacent a first tissue surface, and a second flange disposed around the sleeve and spaced apart from the first flange such that the second flange is adapted to be disposed adjacent a second tissue surface opposed to the first tissue surface. In use, the flanges 16, 18 are positioned on opposed sides of tissue so that the device 10 is effective to prevent tissue surrounding the percutaneous access device from coming into contact with the catheter as it is introduced through the sleeve 12.

Abstract: A medical device may include a vascular access device having a body and a membrane of the body. The membrane communicates with a pathogenic environment and discourages adhesion of a pathogen to the membrane. A method of discouraging a pathogen from residing on the membrane of a vascular access device includes providing a vascular access device with a body having a membrane and discouraging a pathogen from residing on the membrane.