Abstract: Devices for sampling gastro-intestinal material are disclosed. In one arrangement a device comprises a capsule body that has a sample input valve. A suction mechanism is provided that is capable of generating a partial vacuum within the capsule body and thereby drawing gastro-intestinal material into the capsule body through the sample input valve. An actuator actuates the suction mechanism. The actuator comprises a dissolvable element and is configured so that the dissolvable element dissolves in a predetermined region of the gastro-intestinal tract and the dissolving of the dissolvable element causes actuation of the suction mechanism. The suction mechanism comprises a biasing member restrained by the dissolvable element prior to actuation of the suction mechanism. The dissolving of the dissolvable element releases the biasing member. The biasing member expands a sample chamber within the capsule body on release of the biasing member, and generates the partial vacuum within the capsule body.

Abstract: Systems, delivery devices, and methods to treat to ablate, damage, or otherwise affect tissue. The treatment systems are capable of delivering energy to nerve tissue in a target region such that at least a portion of the nerve tissue is replaced by scar tissue or otherwise altered to inhibit reinnervation in the target region.

Abstract: The present invention provides a delivery device for intranasal administration of topical therapeutic agents to a desired site within a nasal cavity. The delivery device, in some embodiments, comprises a housing defining an interior and adapted to contain a supply of at least one therapeutic agent. The delivery device further includes a flexible connector, which is in fluid communication with the supply in the housing. A distributor, which is also integrally formed with the connector, is also provided. The distributor includes a proximal end that is in fluid communication with a distal end of the connector, and is adapted to receive the supply of the at least one therapeutic agent delivered by way of a conduit. The distributor further includes a distal end defining an outlet configured to diffuse the therapeutic agent when delivered to the treatment site.

Abstract: A device for interventions within the body, the device comprising: an end piece 6 for insertion into the body at a distal end thereof, the end piece 6 including a rigid lumen for holding an instrument 10 and guiding the instrument 10 to the distal end of the end piece; and a body section 4 supporting the lumen and being rigidly connected thereto, the body section including a navigation array 14 for guidance of the device using a surgical navigation system and/or including an anchor point 20 for a standard navigation array.

Abstract: Various aspects of the present disclosure are directed toward apparatuses, methods, and systems as relating to occlusion. In certain instances, the apparatuses, methods, and systems may include a device for placement in vessels, appendages, and openings in a body. The device may include a unitary frame having a face portion that includes a center frame portion a plurality of elongate members.

Abstract: A device for interventions within the body, the device comprising: an end piece 6 for insertion into the body at a distal end thereof, the end piece 6 including a rigid lumen for holding an instrument 10 and guiding the instrument 10 to the distal end of the end piece; and a body section 4 supporting the lumen and being rigidly connected thereto, the body section including a navigation array 14 for guidance of the device using a surgical navigation system and/or including an anchor point 20 for a standard navigation array.

Abstract: Disclosed are an electrode for high-frequency surgery, a high-frequency surgery device, and a method for controlling same, wherein the electrode for high-frequency surgery can be easily inserted and moved inside the lumens inside the body, and can expand a conduction area of a high-frequency current after reaching an area to be treated. The electrode for the high-frequency surgery, according to the present invention, comprises: a balloon; and a conductive structure, which is arranged on the outside of the balloon and the exterior shape of which varies according to the volume of the balloon.

Abstract: A clip for use during the loading of a prosthetic heart valve into a delivery device having an operating handle, a catheter assembly having a compartment for receiving the prosthetic heart valve, and an outer shaft joining the catheter assembly to the operating handle. The clip includes a first receiver coupleable to the operating handle of the delivery device and a second receiver coupleable to the outer shaft of the delivery device. The first and second receivers may be arranged orthogonally to one another so that in use the clip orients the catheter assembly substantially orthogonally to the operating handle.

Abstract: Exemplary embodiments of devices and methods for treating a lung including, for example, treatments for chronic obstructive pulmonary disease are disclosed. A device may include a plurality of media and a deployment member. The media may be configured for deployment into one or more airways of a lung. The deployment member may be configured for insertion into or proximate the one or more airways of the lung. Also, the deployment member may be configured to deploy the plurality of media substantially simultaneously. Further, the plurality of media may be configured to be retained within the one or more airways of the lung.

Abstract: Devices and methods for accurately determining the size of an ostium of a patient and in particular sinus ostium. Methods for measuring a target ostium comprise inserting the distal end portion of an ostium measuring device into a patient, locating the target ostium with the measuring device, positioning the distal end portion of the measuring device appropriately adjacent to or into the target ostium and determining the diameter(s) of the target ostium by comparing the length, diameter and/or the circumference of the portion of the distal end portion of the measuring device adjacent to or within the target ostium.

Abstract: The invention has as its object the provision of a medicine capable of reducing a volume of emphysema-suffering pulmonary alveoli or alveolar sacs by means of a respiratory region volume inhibitor containing a coating film formation as a main component and capable of forming a coating film in a respiratory region, characterized by being used in such a way that the coating film-forming component is administered to an emphysema-suffering pulmonary alveolar parenchyma in a human-respiratory region in an amount of 0.004 to 200 g/application, preferably 0.07 to 20 g/application and more preferably 0.5 to 5 g/application on each occasion.

Abstract: Methods, kits, apparatus, and compositions for inhibiting a cerebral neurovascular disorder, a muscular headache, or cerebral inflammation in a human patient are provided. The apparatus includes an electronic neural stimulator capable of stimulating a dorsonasal nerve structure associated with pain in a subject, thereby inhibiting the pain, and includes a power supply for providing the neural stimulation; and at least one electrical conduit coupled between the power supply and a dorsonasal nerve structure associated with the cerebral neurovascular disorder in a manner to transmit the neural stimulation to the dorsonasal nerve structure associated with the pain to thereby inhibit the pain. Cerebral neurovascular disorders include migraine and cluster headache. Muscular headaches include tension headaches and muscle contraction headaches.

Abstract: A lung volume reduction system is disclosed comprising an implantable device adapted to be delivered to a lung airway of a patient in a delivery configuration and to change to a deployed configuration to bend the lung airway. The invention also discloses a method of bending a lung airway of a patient comprising inserting a device into the airway in a delivery configuration and bending the device into a deployed configuration, thereby bending the airway.

Abstract: A method and apparatus for dispensing a relatively viscous composition to a wound site at a location within a mammalian body requiring a relatively long and thin catheter for access includes filling a distal tip of the catheter with the composition, directing the distal tip to the wound site, dispensing the composition onto the wound site and then inflating a balloon against the applied composition to enable same to congeal enough so that the composition remains fixed to the wound site after the catheter is removed from the body. In an embodiment the balloon is secured to the catheter such that when air is applied through the catheter to the balloon, the balloon expands longitudinally and distally past a distal end of the catheter.

Abstract: Devices and methods for wound treatment are disclosed. A chamber may define a treatment space having an interior engineered surface including a plurality of structures configured to provide pathways for the distribution of negative pressure and to exert mechanical stress on a wound. In some specific embodiments, the devices and methods may treat wounds on the head, neck, and face. One or more tubes may be in fluid communication with the treatment space to facilitate the application of negative pressure, the introduction of therapeutic agents, and the removal of wound material.

Abstract: Systems and methods provide intraluminal delivery of a bandage structure within a body lumen or hollow body organ, e.g., for treating an injured gastrointestinal tract or an esophageal hemorrhage in a non-invasive way using endoscopic visualization. The systems and methods can be sized and configured to apply a chitosan bandage structure within a body lumen or hollow body organ, to take advantage of the mucoadhesive, antimicrobial, hemostatic, and potential accelerated wound healing properties of the chitosan material.

Abstract: Methods are disclosed for replaceable attachment of an endoluminal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve device or an attachment cuff, within a patient's digestive tract for treatment of obesity.

Abstract: A flexible surgical instrument employs sheaths around tendons that actuate an end effector or other mechanisms in a distal tip of the instrument. A liquid lubricant can be introduced in the sheaths to reduce friction, and the sheaths can be porous or non-porous. The lubricant can be confined, for example, with an o-ring or a bellow seal, to keep lubricant from leaking where the tendons extend out of the sheaths. More generally, the distal end of the instrument is sealed to prevent leakage of lubricant into a patient. To further reduce risks, a non-toxic water-based lubricant can be used.

Abstract: Various embodiments are described herein for a device and method for an ingestible medical device with a rotatable element. In some described embodiments, the ingestible medical device includes a storage sub-unit with multiple chambers each having an opening for collecting or dispensing substances from the GI tract. The device further comprises a chamber enclosure with an access port. One of the chamber enclosure and the storage sub-unit are rotatable to allow for aligning the access port with a chamber opening. The ingestible medical device includes a sensor for positioning the access port of the chamber enclosure or the storage sub-unit as one of these elements rotates.

Abstract: A nasal retention system for securing a nasal tube extending through a nose of a patient. The retention system includes a clip member includes an elongated body formed of a resilient material, and defines a thickness between first and second planar sides. An adhesive coating is provided on the first planar side, and a detachable film cover is applied over the adhesive coating. The elongated body is bendable about a minor axis parallel to a minor dimension of the elongated body to adhere a first portion of the first planar side to a second portion of the first planar side.

Abstract: An improved method for securing a tracheal tube, an adjunct tube, and oropharyngeal tube, a nasogastric tube, a laryngeal tube or laryngeal mask airway to a patient utilizing an elongated strip of adhesive tape, which is specifically adapted therefor.

Abstract: Embodiments of the invention provide swallowable devices, preparations and methods for delivering drugs and other therapeutic agents within the GI tract. Many embodiments provide a swallowable device for delivering the agents. Particular embodiments provide a swallowable device such as a capsule for delivering drugs into the intestinal wall or other GI lumen. Embodiments also provide various drug preparations that are configured to be contained within the capsule, advanced from the capsule into the intestinal wall and degrade to release the drug into the bloodstream to produce a therapeutic effect. The preparation can be operably coupled to delivery means having a first configuration where the preparation is contained in the capsule and a second configuration where the preparation is advanced out of the capsule into the intestinal wall. Embodiments of the invention are particularly useful for the delivery of drugs which are poorly absorbed, tolerated and/or degraded within the GI tract.

Abstract: The present invention relates to the field of medical devices. Specifically, the invention relates to an enteral feeding device comprising expandable means which prevents or significantly reduces aspirations from the alimentary tract to the respiratory system. In further aspects, the invention relates to systems comprising said enteral feeding device, methods and uses thereof.

Abstract: A device and method for administering a dose of particulate solid medication to a nursing age infant or child through a tube having one end held in a nursing nipple. The tube is held in a holder piece which also mounts the nipple aligned with the tube. The tube is resiliently bendable to hold the dose of medicine loaded therein prepatory to being released to pass down to said nipple. A child having the nipple in his or her mouth reflexively swallows the medicine passing out of the nipple.

Abstract: A gastric feeding tube and method of use where the tube is of sufficient length for insertion into an esophagus of a subject via the nose or mouth. The gastric feed tube comprises a tube having a distal portion, a middle portion and a proximal portion, an outer surface and an inner surface forming a wall of the tube having a thickness and wherein the wall of the tube defines a lumen of a defined geometry, the lumen having an opening at a distal end of the tube for positioning in a stomach or jejunum of the subject and an opening at the proximal end of the tube for positioning outside of the nose or mouth of the subject wherein the lumen extends longitudinally through the tube connecting the opening at the distal end of the tube and the opening at the proximal end of the tube.

Abstract: The present invention provides a process for the preparation of a stable and homogeneous liquid composition that is suitable for enteral administration comprising a digestive enzyme product and nutrients from a nutritional formula having specific amount of nutrients. The invention further provides a method for efficiently and effectively administering a therapeutically effective dose of the stable and homogeneous liquid composition by means of an enteral tube.

Abstract: Systems and methods are described for implementing or deploying medical or veterinary utility modules comprising a first module operable in a digestive or respiratory tract to engage a second module, optionally by a magnetic field. Alternatively or additionally, systems may be operable to remain in situ and also operable to permit a therapeutic material dispensation. In some contexts, for example, systems or methods may dispense a therapeutic material via a subject's throat or elsewhere in the digestive or respiratory tract.

Abstract: A method and apparatus for cleansing the interior surfaces of body cavities employs a balloon catheter adopted to be inserted into a cavity through its ostium with the balloon in collapsed condition. An input flow tube for a cleansing and/or medicating fluid passes through a central passage in the balloon. When the balloon is inflated to establish a narrow passage between the balloon and the cavity walls, a pressurized flow of the fluid is pumped out the distal end of the input flow tube through the passage, parallel to the cavity walls, where it scours the inner wall of the cavity, removing debris as it flows out of the ostium. The fluid flow is urged toward a turbulent condition by attachments to the outer wall of the balloon.

Abstract: Systems and methods of removing bacterial biofilm from a target site using a biofilm removal endoscope. The endoscope has an insertion portion including an imaging channel terminating at a viewing window and an irrigation channel terminating at a nozzle. The imaging and irrigation channels are permanently affixed relative to one another. The insertion portion is inserted into the patient, with a working end thereof being disposed proximate the target site. The target site is imaged and a flow of fluid is dispensed via the nozzle to mechanically remove bacterial biofilm from the target site.

Abstract: A device and method for removing material from inside a tube is provided, comprising a catheter having a tubular body and defining an inner lumen, the distal end portion of the tubular body defining a distal opening and apertures on a sidewall. An expandable member is attached to the distal end portion of the catheter tubular body distal to the one or more apertures. The expandable member is capable of having a first unexpanded condition such that the distal opening is open to allow fluid communication with the inner lumen of the catheter through said distal opening, and a second expanded condition such that the distal opening is occluded to prevent fluid communication with the inner lumen of the catheter through said distal opening, the second expanded condition of the expandable member having a maximum transverse diameter larger than a diameter of the tubular body proximal to the expandable member.

Abstract: A system comprising: a nasogastric tube comprising: (a) a main lumen having one or more proximal connectors for connecting to a source of substances or pressure; (b) at least four vacuum lumens peripherally surrounding said main lumen; and (c) at least four suction ports for sealingly drawing an inner wall of an esophagus thereagainst, each of said at least four suction ports associated with a different one of said at least four vacuum lumens, wherein said at least four suction ports are distributed between at least two different locations along a longitudinal axis of said nasogastric tube.

Abstract: A feeding tube with an inflatable balloon component, a kit containing the feeding tubing, and a method for intubating a patient to deliver the feeding tube to a desired location for delivering nutrients and/or medication to the patient are described herein.

Abstract: The present invention relates to methods for treating obstructive sleep apnea (OSA), alleviating a negative OSA symptom, reducing snoring, or improving quality of life in a subject, comprising administering to the subject an effective amount of a pharmaceutical composition comprising pyridostigmine before sleep. Also provided are related medicaments as well as methods for preparing the medicaments.

Abstract: A maneuverable feeding tube system can include: a feeding tube having an internal lumen and distal opening; a maneuverable tube having a flexible distal end being located within the internal lumen of the feeding tube such that the flexible distal end is associated with the distal opening of the feeding tube, wherein the flexible distal end includes one or more flex members; a control member operably coupled to a flexible distal end of the maneuverable tube and extending through the internal lumen of the feeding tube; and a port coupled to a proximal end of the feeding tube with the control member extending therethrough.

Abstract: Air-in-line sensor systems and methods of using same are provided. The system includes an adapter (60) including first and second cylindrical portions defining a fluid flow channel, the first cylindrical portion comprising two adjacent wedge-shaped protrusions (68). Each wedge-shaped protrusion is infrared transmittive and defines an outer surface and an inner surface. The system further includes a tube and an infrared reflective sensor having an infrared light emitter (42,52) and an infrared light detector (44,54). The infrared light emitter and the infrared light detector are positioned at or near an adapter so that an infrared light can be transmitted to the adapter and at least a portion of the infrared light reflected off the adapter can be detected by the infrared light detector.

Abstract: A heating system for warming nutritional liquid fed to a neonate or preterm infant may comprise a control module and a heater. The heating system is portable so that the heating system is not connected to a syringe pump or other device used to feed the neonate. The heater of the heating system is mounted to the tube that is used to feed the neonate. The heater is positioned along the tube in close proximity to the neonate so that a temperature drop of the nutritional liquid after the nutritional liquid exits the heater and reaches the neonate is negligible. The heater raises the temperature of the nutritional liquid to a target desired temperature (e.g., body temperature of the mother and neonate or to a temperature above the temperature of the mother and neonate) so that the neonate may consume warm nutritional fluid. Once the nutritional liquid reaches the neonate, the nutritional liquid is at about the body temperature of the mother or neonate or at least above room temperature.

Abstract: The present application relates to orogastric tube guides and to related systems and methods. The orogastric tube guides and systems can be used to direct an orogastric tube into the esophagus of a patient during any medical or surgical procedure where placement of an orogastric tube is indicated or used.

Abstract: An ingestible material delivery device for sequentially delivering first and second ingestible materials to a user through a feeding tube provides a tube body having first and second chambers separated by a seal. A puncture tool is disposed in the second chamber extending toward the seal. The puncture tool engages and disrupts the seal when the second chamber is compressed. In some embodiments, the second chamber includes a plurality of interconnected bellows operable for axial compression of the second chamber. Another embodiment of a delivery device provides a tube body having first and second chambers with exit nozzles extending in opposite flow directions. A method of sequentially delivering first and second ingestible materials to a user through a feeding tube is also provided.

Abstract: A metered enteral feeding system for delivering fluids, the metered enteral feeding system including a vented container with contained volume for containing the fluids. The metered enteral feeding system includes a discharge port for discharging the fluid from the contained volume and at least one vent for allowing airflow into the contained volume. The metered enteral feeding system also includes a flow control valve in fluid communication with the discharge port of the vented container. The fluid control valve is adjustable to provide an increased or decreased flowrate therethrough.

Abstract: A method for treating atherosclerosis in a patient comprising maintaining an elevated level of alcohol in the patient's blood; and administering a calcium chelating agent is provided.

Abstract: An enteral feeding system reduces medical risk for aspirational pneumonia when an angle of a head gatch section is outside a predetermined range of 30-45 degrees. The system comprises a hospital bed having the head gatch section and an intravenous pole connected to an enteral feeding pump. The pump has a fluid sensor which operates properly when the pump is positioned along a vertical axis. The pole is connected to the head gatch section at a 30 degree angle offset from the vertical axis. In operation, when the head gatch section is positioned less than 30 degrees, the pump will stop operating and when the head gatch section is positioned at 30 degrees, the pump will operate since the pump is positioned along the vertical axis to allow the fluid sensor to detect fluid.

Abstract: A nasogastric tube (10) including a main lumen (12) having one or more proximal connectors (14) for connecting to a source of substances or pressure, and one or more vacuum lumens (16) peripherally surrounding the main lumen (12), each vacuum lumen (16) including a vacuum sealing portion (24), which includes one or more suction ports (26) for sealingly drawing an inner wall of an esophagus thereagainst.

Abstract: An injection device for use with tissue of a mammalian body comprising a first tubular member and a second tubular member slidably disposed in the first tubular member. The first and second tubular members have respective proximal and distal extremities. The distal extremity of the second tubular member is provided with a needle that is extendable from the distal extremity of the first tubular member. The proximal extremity of the second tubular member is lockable relative to the proximal extremity of the first tubular member. The second tubular member has a column strength when locked within the first tubular member for limiting retraction of the second tubular member relative to the first tubular member during puncture of the tissue by the needle.

Abstract: An infiltration cannula and method of using the infiltration cannula during a tumescent infiltration procedure are disclosed herein. The infiltration cannula may have an outwardly flaring hub which may be wedged into an adit of a patient to minimize leakage of fluid being infiltrated into the patient. Also, the infiltration cannula may be utilized to hydrate a dehydrated patient by a medically untrained person. The infiltration cannula may also be used to deliver an antibiotic/vasoconstrictive drug solution to minimize surgical site infections.

Abstract: An enteral feeding system reduces medical risk for aspirational pneumonia when an angle of the head gatch section is outside a predetermined range of 30-45 degrees. The system comprises a hospital bed having a head gatch section and an intravenous pole connected to an enteral feeding pump. The pump has a fluid sensor which operates properly when the pump is positioned along a vertical axis. The pole is connected to the head gatch section at a 30 degree angle offset from a vertical axis. In operation, when the head gatch section is positioned less than 30 degrees, the pump will stop operating and when the head gatch section is positioned at 30 degres, the pump will operate since the pump is positioned along a vertical axis to allow the fluid sensor to detect fluid.

Abstract: The present invention concerns methods of treating systemic, regional, or local inflammation from a patient suffering or at risk of inflammation comprising administration of a therapeutically effective dose of a sorbent that sorbs an inflammatory mediator in said patient. In some preferred embodiments, the sorbent is a biocompatible organic polymer.

Abstract: The present invention provides a one-piece bottle containing enteral feeding material and having a top end with a threaded section and a bottom end comprising a funneled connector port; and a threaded cap dimensioned to mate with the threaded section of the one-piece bottle; wherein the funneled connector port connects to an enteral feeding assembly; wherein the threaded cap provides a leak proof seal such that there is no exposure point until it is used for feeding, thereby preventing contamination.

Abstract: An enteral pump system for delivering medical fluids unidirectionally includes a disposable fluid delivery set having a repeatable compression portion and an enteral feeding pump. The repeatable compression portion is helically coiled around a central axis to define a cylindrical shape. The compression portion is configured to pump a large volume of medical fluids per stroke. The compressing portion includes at least two adjacent tubing walls joined around the central axis for repeatable compression. The enteral feeding pump is configured to repeatedly and reliably compress the compression portion of the fluid delivery set along the central axis. In operation, the compression portion is repeatably compressed without distortion along the central axis by the enteral feeding pump to flow unidirectionally through the fluid delivery set.

Abstract: A catheter assembly and method for internally anchoring a catheter in a patient. According to one embodiment, the catheter assembly includes a catheter, a tubular fitting coupled to one end of the catheter, and an internal bolster coaxially mounted around the tubular fitting. The tubular fitting has a waist portion, and the internal bolster is secured thereto by a snap-fit. To internally anchor the catheter in a patient, one inserts the end of the catheter to which the fitting is coupled into the patient and then, while the fitting and its coupled end of the catheter are within the patient, inserts the internal bolster over the fitting until it snap-fits into place over the waist portion, thereby internally anchoring the catheter within the patient.

Abstract: A system and method for monitoring the placement of a feeding tube in the jejunum of a patient includes a system comprising a feeding tube and a tubular member received in a passageway extending through the feeding tube. The tubular member is sized relative to the feeding tube such that an echogenic distal length of the tubular member extends distal to the open distal end of the feeding tube. The distal end of the assembly is advanced into the small intestine of the patient, and a negative pressure is drawn through an opening in the distal length of the tubular member to draw the tubular member distal length into juxtaposition with a wall of the small intestine. The position of the assembly in the small intestine may be observed in real time via ultrasound visualization of the echogenic portion.