Abstract: A medical instrument includes a handpiece, an electromechanical transducer disposed in the handpiece, and an electrical circuit disposed at least partially in the handpiece for supplying alternating electrical current of a predetermined frequency to the transducer. A probe is operatively connected to the transducer for transmitting vibrations generated by the transducer to an operative site in a patient. A switching device is mounted to the handpiece and is operatively connected to the circuit and the transducer for enabling the supply of power to the transducer during a motion of the probe in a preselected direction relative to the handpiece and for disabling the supply of power to the transducer upon a termination of motion of the probe in the preselected direction.

Abstract: A generally cylindrical housing having interior and exterior surfaces has open front and open back ends separated by an axial length. An open cell polyurethane foam sleeve has a flat face positionable adjacent to the interior surface of the housing and an undulating face adjacent to the central axis of the housing.

Abstract: The composite wound dressing apparatus promotes healing of a wound via the use of a vacuum pump. The vacuum pump applies a vacuum pressure to the wound to effectively draw wound fluid or exudate away from the wound bed. The vacuum pump is tethered to the wound dressing and is portable, preferably, carried by the patient in a support bag, which permits patient mobility. Moreover, the patient does not need to be constrained for any period of time while exudate is being removed from the wound.

Abstract: A surgical technique and device wherein an indwelling tube is placed in the eye of a patient having glaucoma. The tube diverts aqueous humor from the anterior chamber to the suprachoroidal space from which it is removed by blood flowing in the choroidal and uveal tissues. This decreases the intraocular pressure.

Abstract: Setting safety function, as appropriate, according to a user environment is enabled, thereby enhancing safety function. According to selection information from a safety function selection unit 120, a function setting unit 116 sets arbitrary function among a plurality of functions as safety function pertaining to usage of a gas. When operating conditions for safety function are fulfilled, a monitoring unit 112 detects malfunction, which would arise during usage of a gas, and outputs a safety signal to a control unit 114 in accordance with the set safety function. In accordance with a safety signal from the monitoring unit 112, the control unit 114 cuts off a gas supply when an event fulfilling operating conditions for the set function has arisen. When an event fulfilling operating conditions for an unset function has arisen, a communication unit 124 reports occurrence of malfunction pertaining to unset function to the monitoring center 200.

Abstract: A drainage device useable for treating patients with a pulmonary air leak, the device comprising suction mode control means, where a pressure sensor is connected to the suction mode control means for supplying a pressure signal representative of the pressure in a collection chamber, and an air flow sensor is connected to the suction mode control means to supply a flow signal representative of the flow of air evacuated from the collection chamber, and in that the suction mode control means is arranged to switch between a first suction mode and a second suction mode based on an algorithm involving the flow signal and the pressure signal.

Abstract: According to one aspect, a fluid collection bag comprises an inlet opening adapted to receive an inlet tube located on a first side of the fluid collection bag. The fluid collection bag has a length greater than the height. The first side of the fluid collection bag is generally parallel with a length of the fluid collection bag. The fluid collection bag further comprises an outlet opening located on a second side of the fluid collection bag. The fluid collection bag may be reversible such that a first surface or a second opposing surface of the fluid collection bag may face a support element.

Abstract: A drain for use in medical applications may include an elongated conduit configured to be implanted in a body cavity, wherein the conduit has a proximal end and a distal end. The conduit may include at least one channel configured to drain fluid from the body cavity and at least one lumen extending from the proximal end to the distal end of the conduit. The lumen may be at least partially surrounded by the at least one channel and may be separated from the at least one channel by a wall. At least one hole in the wall may be configured to provide fluid communication between the lumen and the at least one channel.

Abstract: A drainage catheter, comprising an elongate body member, an elongate flexible member and a hub, the hub including a base and a collar, the base an internal passageway and a side lumen and an outer surface including an engagement element and a mating surface portion, and the collar including a side lumen extending from the inner surface to the outer surface and wherein the inner surface of the collar includes a mating surface portion and a counter element, wherein the elongate flexible member extends through the side lumen side lumens, and wherein the hub has an unlocked position where the engagement element and the counter element are not engaged and a locked position where the engagement element and the counter element are engaged, the collar is tightened on the base and the elongate flexible element is clamped between the mating surface portions of the base and the collar.

Abstract: A drainage tube device for removing fluids by suction from a human or animal body comprises a coupling unit with first and second coupling parts that can be connected to each other in a leaktight manner, a first valve that is arranged in the first coupling part, and a drainage tube with an end that is directed towards the patient and is held in the second coupling part. The drainage tube has a multi-lumen design with a drainage conduit and at least one auxiliary conduit. This drainage conduit and at least one of said auxiliary conduits are in fluidic communication with each other at their end directed towards the patient and arranged inside the second coupling part. The drainage tube device further comprises a second valve, which is arranged in the second coupling part and which opens and closes the drainage conduit. The drainage tube device and the coupling unit according to the invention are of simple construction but nonetheless permit many functions.

Abstract: The present invention relates to a telescopic device comprising at least two sections, wherein an extraction force is needed to extend the device from a short telescope configuration to an extended configuration and securing the sections in extended configuration; a separation force is needed to pull the at least two sections apart; retention means coupling at least one of the two sections to at least one attachment point; and the uncoupling strength of the retention means is larger than the extraction force but smaller than the separation force. This allows the telescopic device to be properly extended into its extended configuration before the retention means uncouples the telescopic device from the at least one attachment point.

Abstract: When a patient is fitted with an external gastrostomy connection to the stomach, ingested food can be removed through the gastrostomy connection using a pump-based or siphon-based system to achieve weight loss. The process of removing ingested food can be improved by alternating the infusion of liquid into the stomach with the removal of material from the stomach. Optionally, stomach acid may be captured and returned to the stomach. Optionally, nutritional supplements or medicines may be added to the infused liquid. Optionally, a flush mount connectorized system with a built in valve may be used to simplify the interface with the gastrostomy hardware that remains installed in the patient. Optionally, the system may be configured to disable itself from further use after a triggering event (e.g., the passage of time or a predetermined number of uses) has occurred.

Abstract: The present invention is generally directed to improved methods, devices, and systems for eye surgery. In some embodiments, the invention may provide new and/or improved devices, systems, and methods for detecting surgical fluids in a fluidics cassette, particularly cassettes which are used to couple an eye treatment probe to an eye treatment console. Rather than relaying on internal reflection by a gas-liquid interface, the fluid detection techniques described herein may make use of the changes in propagation of light through a portion of the holding tank when the portion varies between empty and full. For example, light may propagate directly through the holding tank portion when there is no surgical fluid, but may be directed away from a light detector when the portion of the holding tank is filled with surgical fluid.

Abstract: A catheter comprising a body wall separator for preventing the occlusion of catheter openings by body tissues when the catheter is placed in the body of a subject. The inventive catheter provides enhanced flow of fluids to and from the body. Methods of making and using the catheter, for drainage purposes for example, are also within the scope of the invention.

Abstract: The illustrative embodiments described herein are directed to an apparatus and method for managing reduced pressure at a tissue site. The apparatus includes a reduced pressure source that generates reduced pressure. The reduced pressure is delivered to the tissue site via a delivery tube. The apparatus includes a single pressure sensor. The single pressure sensor detects an actual reduced pressure at the tissue site. The apparatus also includes a controller. The controller determines a responsiveness of the actual reduced pressure measured by the single pressure sensor to an increase in reduced pressure generated by the reduced pressure source. The apparatus includes an indicator. The indicator emits a signal when the controller determines that the actual reduced pressure measured by the single pressure sensor is nonresponsive to the increase in reduced pressure generated by the reduced pressure source.

Abstract: An ACS therapy system for continuously monitoring Intra-Abdominal Pressure (IAP) and preventing the onset of ACS. The automated ACS therapy system includes a urine withdrawal device, an IAP regulation circuit, an IAP monitor connected to the urine withdrawal device to supply an IAP value to the IAP regulation circuit, and an abdominal fluid removal device. The abdominal fluid removal device may be connected to an active suction device, which withdraws fluid from the abdominal cavity through the abdominal fluid removal device when activated by the IAP regulation circuit. Based on the IAP value, the IAP regulation circuit may send a control signal that controls the active suction device to turn on and drain fluid from the abdominal cavity. When the IAP value reaches certain levels, the IAP regulation circuit may cause the active suction device to be turned off.

Abstract: An anti-clog suction tip apparatus includes a suction tip having a suction opening and an interior defining a suction channel. An ejection wire channel extends to a wire exit opening into the suction channel that is located proximate the suction opening. An ejection wire including a ball tip at an end thereof occupies the ejection wire channel and is transitionable between a retracted configuration and an advanced configuration such that, in the retracted configuration, the ejection wire including the ball tip is retained within the ejection wire channel and does not obstruct suctioning of debris through the suction channel; and in the advanced configuration, the ball tip of the ejection wire does not extend more than three millimeters beyond the suction opening.

Abstract: A minimally invasive lung reduction device which overcomes the disadvantages associated with treating chronic obstructive pulmonary disease by utilizing the phenomenon of collateral ventilation to increase the expiratory flow from a diseased lung. The device also provides a means for assisting in or facilitating pulmonary decompression to compress the diseased area or area of the lung or lungs to a smaller volume.

Abstract: A surgical drain and method for using the same. The surgical drain comprises a first end, which may be sized for placement within an organism. The first end features a plurality of segments, each labeled with an alphanumeric character. The first end may be cut at a line between two of the segments. The alphanumeric character at the terminal end of the first end after cutting is recorded prior to placing the drain within the organism. When removing the drain, the recorded alphanumeric character is compared with the character at a terminal end of the first end of the surgical drain. Thus, a treating professional can ensure that no portion of the surgical drain is left within the wound, preventing infection due to a foreign object left within the organism.

Abstract: A device for removing fluid from a first bodily cavity and for directing that fluid into a second bodily cavity while avoiding risks of infection and, in one embodiment, excessive dehydration of the first bodily cavity. The device includes an uptake tube having a proximal end in fluid communication with the first bodily cavity and a distal end in fluid communication with a pump, and an outflow tube having a proximal end in fluid communication with the pump and a distal end in fluid communication with the second bodily cavity. The distal end of the uptake tube may be coupled to a reservoir configured to expand upon ingression of fluid into the reservoir and to contract upon removal of fluid due to a negative pressure provided by the pump.

Abstract: Pump cassettes, wound-treatment apparatuses and methods. In some embodiments, a pump cassette comprises: a pump body having a pump chamber, an inlet valve in fluid communication with the pump chamber, and an outlet valve in fluid communication with the pump chamber; a diaphragm coupled to the pump body such that the diaphragm is movable to vary a volume in the pump chamber; and an identifier configured to store one or more properties of the pump cassette such that the identifier is readable by an automated reader to determine the one or more properties. In some embodiments, the pump cassette is configured to be removably coupled to a wound-treatment apparatus having an actuator such that the actuator can be activated to move the diaphragm.

Abstract: Devices, systems, and methods for removing contrast from luminal organs. In at least one embodiment of a device for removing contrast from luminal organs of the present disclosure, the device comprises an elongated body having at least one lumen extending therethrough and an aperture defined along the elongated body, said aperture configured to facilitate withdrawal of contrast from a mammalian luminal organ, a first detector for detecting a contrast present within the mammalian luminal organ, the detector positioned at or near a distal end of the elongated body, an inflatable balloon coupled to the elongated body proximal to the detector, and a second detector for detecting balloon inflation, the second detector positioned along the elongated body within the balloon.

Abstract: A bio-compatible lumen bearing device such as a catheter formed of a polymeric material having a titanium surface bonded to the underlying exposed catheter surface. The titanium surface is employed in patients to improve bio-compatibility and enhance lubricity during insertion and removal.

Abstract: An object is to prevent a mistaken shutoff caused by the mistaken registration of an appliance of which an amount of gas used changes. An individual flow registration maintenance unit maintains a registered flow rate deleted due to an increase/decrease in flow rate, again, performs determination on the flow rate maintained when a new flow rate is registered or a flow rate added with the maintained flow rate, and in the case where it is regarded to be the same, re-register the maintained flow rate.

Abstract: A method and apparatus are provided for removing noxious or unneeded materials from cells in a subject's body.

Abstract: A reduced pressure treatment system includes a filament delivery conduit having a distal end positioned at a subcutaneous tissue site of a patient and a proximal end positioned extracorporeal to the patient. A continuous filament is positioned in the filament delivery conduit such that one end of the continuous filament extends from the proximal end of the filament delivery conduit and another end of the continuous filament extends from the distal end of the filament delivery conduit. The continuous filament forms a filament mass adjacent the tissue site. A reduced pressure delivery conduit is adapted to fluidly communicate with a reduced pressure source and the filaments mass to deliver a reduced pressure to the tissue site through the filament mass.

Abstract: A reduced pressure treatment system is provided that includes a canister that is fluidly connected to a tissue site and is configured to receive fluid drawn from the tissue site under the influence of a reduced pressure. A reduced pressure source provides the reduced pressure and is fluidly connected to the tissue site by a fluid communication path, which may include a source conduit, the canister, and a target conduit. A sensing device communicates with the source conduit and is configured to sense a pressure in the source conduit. A valve communicates with the source conduit and is configured to vent the reduced pressure. A processing unit communicates with the sensing device and the valve and is configured to open the valve for a selected amount of time, determine a decay of reduced pressure, and determine a fill status of the canister based on the decay of reduced pressure.

Abstract: A subdural evacuation port aspiration device including a subdural evacuation portion and a port aspiration portion. The subdural evacuation portion includes a rigid tubular portion having a central axis, a threaded exterior surface, and a pair of wings extending outwardly in substantially opposite directions from the tubular portion. The port aspiration portion includes a first segment and a second segment extending in separate directions from the subdural evacuation portion, the first segment configured to receive an aspiration device and the second segment configured to connect to a negative pressure source. The subdural evacuation portion and the port aspiration portion are uniformly formed as a single rigid unit.

Abstract: A corporeal drainage system including a fluid receptacle. The fluid receptacle in one embodiment is disposable and may be manipulated to generate a negative fluid pressure. The fluid receptacle in another embodiment is reusable and includes features to enable the insertion of a disposable bag therein. A pump may be integral to the fluid receptacle, the pump including a pair of unidirectional check valves. A catheter connection system is described, which facilitates connection between a fluid flow conduit and an implanted catheter. Methods of producing active and passive siphon systems are also disclosed.

Abstract: An implantable shunt that includes one or more catheters configured so that the implantable shunt has a resistance to flow greater than about 3 mm Hg/mL/minute. An implantable shunt system that includes one or more catheters and a fluid control device that utilizes the properties of the catheters to improve the expected function of the shunt by providing a higher or lower resistance to the flow through the shunt and reduces the effect of pulsations of cerebrospinal fluid on the shunt system.

Abstract: A negative pressure wound therapy apparatus that can include a wound dressing, a fluid collection device, a vacuum pump comprising a pump motor, and tubing can be powered by auxiliary power sources such as high efficiency batteries, photovoltaic panels or cells, fuel cells, combustion generators, human powered generators, or other mechanical, electrical, or chemical power sources such as hand operated dynamos or wound springs, or any combination of the foregoing. Additionally, the apparatus can include a high efficiency pressure controller for controlling the output of the vacuum pump. In some embodiments, the pressure controller can control the pump without using a processor, and can have other features such as an intermittent delay function and an anti-stall mechanism to reduce the energy consumption of the apparatus.

Abstract: River rocks are used in a therapy regime whereby the river rocks are used to absorb excess oils from the skin of a user. In one method, river rocks are collected from a source (e.g., river or supplier), sorted for size and color, engraved with logo or other content, packaged and shipped to customers or retailers with instructions on use. Use comprises placement of the river rocks on oily portions of the user's skin for an appropriate time period allowing the river rock to absorb the excess oils. The river rocks are reusable after being washed with mild soap and water.

Abstract: A suction catheter assembly is disclosed, which includes a manifold member, an engaging structure, a suction catheter, and a controller. The controller includes a housing, an elastic member, a hollow valve body, an actuating piston, and a cap. The housing has an inlet portion and an outlet portion. The housing has a sealed portion formed on one end thereof. The actuating piston projects through the hollow valve body and abuts to the cap and the elastic member on opposite ends. When the hollow valve body is at closed position, fluid flow is cut off between the inlet and outlet portions. When the hollow valve body is at open position, the fluid flow is allowed. The suction catheter assembly has better air tightness.

Abstract: A suction device is disclosed that includes a suction tube having a first longitudinal axis, and proximal and distal openings; a guide tube that is substantially coextensive with and parallel to the suction tube, and has a second longitudinal axis, and proximal and distal openings; a stylet having proximal and distal ends; and a junction conduit having proximal and distal openings; wherein the stylet is disposed along the second longitudinal axis and encircled by the guide tube, and the proximal opening of the junction conduit contacts the distal opening of the suction tube and the distal opening of the guide tube such that the distal opening of the junction conduit is in fluid communication with the suction tube, and urging the stylet through the guide tube translates the stylet to the distal opening of the junction conduit.

Abstract: Devices adapted to facilitate draining fluid from the abdominal/peritoneal cavity of a medical patient. The invention may be embodied in one or more element of an access port, insertion assist device, and/or abdominal catheter. A preferred abdominal catheter provides a drain field that can be inserted into the abdominal compartment, through an access opening having a small cross-section, in a stowed configuration and subsequently expanded to provide a large drain area through which to extract fluid from the compartment.

Abstract: A system for subatmospheric pressure therapy in connection with healing a wound is provided. The system includes a wound dressing cover dimensioned for positioning relative to a wound bed of a subject to establish a reservoir over the wound bed in which subatmospheric pressure may be maintained, a subatmospheric pressure mechanism including, a housing, a vacuum source disposed in the housing, and a collection canister in fluid communication with the vacuum source. The system further includes an exudate conduit in fluid communication with the wound dressing and the collection canister for collecting exudate removed from the reservoir and deposited in the collection canister under influence of the vacuum source and a vent conduit in fluid communication with the collection canister and the wound dressing for introducing air into the reservoir to facilitate flow of exudate through the exudate conduit.

Abstract: The invention provides a method and apparatus for maintaining central nervous system drain patency. Ultrasound energy delivered through the drain dissolves the hemorrhage and debris occluding the drain lumen and ports.

Abstract: An indwelling drainage catheter is disclosed that is configured to include spiral, helical or radial geometry on the external surface that allows the catheter to be introduced and locked into the anatomy via threading, linear indexing or similar action.

Abstract: The invention provides a method and apparatus for maintaining central nervous system drain patency. Ultrasound energy delivered through the drain dissolves the hemorrhage and debris occluding the drain lumen and ports.

Abstract: Relatively non-invasive devices and methods for heating or cooling a patient's body are disclosed. Devices and methods for treating ischemic conditions by inducing therapeutic hypothermia are disclosed. Devices and methods for inducing therapeutic hypothermia through esophageal cooling are disclosed. Devices and methods for operative temperature management are disclosed.

Abstract: An indwelling endourethral drainage catheter includes a tubular distal portion and a spiral proximal portion. A central lumen extends along substantially the entire length of the catheter. The spiral proximal portion defines an outer spiral channel in fluid communication with the central lumen. The distal end of the catheter is anchored externally so that the catheter is held against advancement into or out of the urethra. In certain methods, the diameter of the spiral proximal portion may be changed to address obstructions within the urethra or facilitate navigation of the catheter along the urethra.

Abstract: A device for use in performing minimally invasive surgery. A system for performing minimally invasive surgery comprising the device according to the present invention. A method for performing minimally invasive surgery.

Abstract: A method of collecting a specimen of the present invention detects upper digestive system disease. The method of collecting a specimen includes: a step of administering a stimulant of pancreatic juice secretion or a stimulant of bile secretion to a subject; a step of positioning sampling equipment in the duodenum of the subject into which duodenal juice is secreted, the sampling equipment being used to collect and store the duodenal juice; a step of starting collection of the duodenal juice by the sampling equipment within five minutes from the administration of the stimulant of pancreatic juice secretion or the stimulant of bile secretion; and a step of stopping collection of the duodenal juice such that collection time for the duodenal juice is within five minutes from the start of collection.

Abstract: A method for treatment for obesity comprising a medical device attached or implanted in patient's target body organs, wherein in each one of the device attachments, or daily in the case of long continuous attachment, the device removes up to 100 grams of energy containing materials from the body. The medical device optionally contains needles or alternatively contains crawling worm like arm. The energy containing materials may be fat cells, fatty acid molecules driven out from the fat cells or lipids or carbohydrates molecules such as glucose from the blood stream.

Abstract: The present invention is directed to an apparatus and method for treating obesity. A tube is positioned that passes through a patient's abdominal wall into the upper digestive system of the patient. The patient is allowed to carry out his/her everyday affairs including ingesting food. After the patient has ingested food, the food is extracted by pumping it out of the upper digestive system through the tube. The present invention is less invasive than current surgical procedures for reducing weight and allows patients to live a normal and active lifestyle without experiencing adverse side effects.

Abstract: A disposable urine bag is provided. The bag includes an upper delimiting edge, a lower delimiting edge and lateral delimiting edges defining a space in the bag. The lower delimiting edge includes a drain valve, whose first drain mouthing in a first hollow element communicates with the space in the bag, and whose second mouthing in a second element is situated outside the delimiting edges of the bag. The drain valve is a disposable valve including a seal between the first and the second element and at least one indicator situated in the area of the seal. A disposable urine bag is provided whereby the drain valve seal may be broken without using significant finger strength and without a risk of the user being soiled with urine.

Abstract: A catheter comprising a tube member having an open and a closed end (7) and either a head (8) at the tube member closed end, having a diameter greater than the tube outer diameter and/or a circumferential neck (12) adjacent the tube member closed end, the neck outer diameter being less than the tube outer diameter and greater than the tube outer diameter. In alternative embodiments, the closed tube end my have one or more dimples disposed on the tube surface, of a depth less than the tube wall thickness; one or more projections disposed on the tube surface; or more flute portions disposed on the tube surface, of a depth less than the tube wall thickness. One or more fluid apertures (9, 10) are disposed in the tube member, in or adjacent the closed end, neck, dimples, projections or fluted portions.

Abstract: A reduced pressure delivery system for applying a reduced pressure to a tissue site includes a manifold delivery tube having a passageway and a distal end, the distal end configured to be percutaneously inserted and placed adjacent the tissue site. A flowable material is provided and is percutaneously deliverable through the manifold delivery tube to the tissue site. The flowable material is capable of filling a void adjacent the tissue site to create a manifold having a plurality of flow channels in fluid communication with the tissue site. A reduced pressure delivery tube is provided that is capable of fluid communication with the flow channels of the manifold.

Abstract: The present invention provides a stent assembly for expanding a bodily passage in a patient and draining a fluid therefrom. The assembly comprises at least one expandable stent and an elongated carrier for delivery or retrieval of the stent. The stent is circumferentially attached to a distal end of the carrier. The carrier defines at least two concentric lumens therethrough, a drainage lumen in fluid communication with the bodily passage for drainage of the fluid and an inflation lumen in fluid communication with the expandable stent. The invention also provides a method of expanding a bodily passage in a patient and draining a fluid therefrom. The method comprises providing a stent assembly of the present invention; inserting a guidewire into the bodily passage through the drainage lumen of the carrier; advancing the assembly along the guidewire until the assembly reaches a desired location; expanding the stent; and draining the fluid through drainage lumen of the carrier.

Abstract: An ocular implant for treating glaucoma is provided, which may include any number of features. More particularly, the present invention relates to implants that facilitate the transfer of fluid from within one area of the eye to another area of the eye. One feature of the implant is that it includes a proximal inlet portion and a distal inlet portion adapted to be inserted into the anterior chamber of the eye, and an intermediate portion adapted to be inserted into Schlemm's canal. Another feature of the implant is that it can be biased to assume a predetermined shape to aid in placement within the eye.