Abstract: A catheter assembly includes a hydrophilic catheter; a wetting fluid for wetting of the catheter; and a receptacle enclosing at least the insertable part of the catheter and the wetting fluid. The wetting fluid is a solution incorporating at least one osmolality-increasing compound, and the total concentration of the osmolality-increasing compound(s) preferably exceeds 600 mOsm/dm3. The wetting fluid could either be arranged in contact with the hydrophilic surface layer of the catheter in the receptacle, for preservation of the hydrophilic surface layer in a wetted state during accommodation in said receptacle and provision of a ready-to-use catheter assembly, or be arranged to keep the wetting fluid separated from the hydrophilic surface layer of the catheter during storage, but to be brought into contact with said hydrophilic surface layer upon activation before an intended use of the catheter.

Abstract: A catheter clamp having a rounded open proximal side, a mirroring distal end, a planar bottom surface, and a top surface is provided. The top surface extends from the proximal side toward the distal end, the proximal side of the catheter clamp being formed such that the top surface can be moved in a vertically swinging position. The distal end of the clamp includes a locking lip that extends from the upper inside surface of the distal end. The top surface has a clamping surface which extends in a perpendicular direction from the top surface. The top surface is engaged beneath the locking lip such that the clamping surface clamps an inserted catheter tube, thereby stopping the flow of liquids through the catheter clamp. The top surface can be easily disengaged to release liquids through the catheter tube.

Abstract: The present disclosure relates to a pre-wetted intermittent catheter apparatus including a collapsible container having a conduit positioned therein as well as a wetting fluid. The conduit has a lubricious coating disposed thereon such that the coating is hydrated upon contact with the wetting fluid in the container, providing a slippery surface for the conduit, which facilitates introduction of the conduit into a user. An introduction member may be incorporated into the distal end of the container and a disposal member may be incorporated into the proximal end, each respectively being positioned in an opening in the container and in communication with the conduit such that fluid flow through the conduit (positioned in the container) is enabled. A bag may be attached to or incorporated into the disposal member to provide a closed system such that the user or assistant is not exposed to potential contaminants.

Abstract: A drainage catheter including a body, a drainage lumen extending between the body proximal end and the body distal end, the drainage lumen including a distal fluid inflow port and a proximal fluid drain coupling, and an inflation lumen extending between the body proximal end and the body distal end, conveying inflating fluid from a proximal fluid supply element to a distal fluid acceptor balloon, the proximal fluid supply element adjacent the proximal fluid drain coupling. A sleeve may be secured about the proximal fluid supply element and the proximal fluid drain coupling to provide a fluid impervious coating.

Abstract: A bowel management system includes a waste collection catheter having at least two distinct sections. The first section is patient proximal when disposed in the patient's rectum and has durometer hardness in the range of about 50 A to about 90 A. The second catheter section is connected to the first section and has durometer hardness in the range of about 5 A to about 49 A. A selectively collapsible, substantially spherical retention balloon is attached coaxially and exterior of the first catheter section such that the proximal-most end of the retention balloon is coincident to the proximal-most end of the first section of the waste collection catheter, the substantially spherical retention balloon having an inflated size so as to be sufficiently large enough to retain the patient proximal end of the catheter in the patient's rectum without being so large as to trigger a defecatory response in the patient.

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: A quantitative and qualitative analysis apparatus of a body fluid serves as a replacement of a Foley catheter and a urine bag connected The analysis apparatus is capable of automatically measuring the volume of a body fluid (urine volume) and specific constituents in a body fluid (urine and blood) in a real time mode and is capable of outputting the measurement results with ease, thereby promoting the efficiency of human resource management so that medical staff may be able to make a quick diagnosis on the current state of the patient based on the provided data and thus, take all necessary measured to improve the patient's condition at proper time.

Abstract: A urinary catheter assembly is disclosed having a catheter, a sheath enclosing an insertable portion of the catheter, and one or more vents in fluid communication with the lumen of the sheath and an environment outside the sheath.

Abstract: An assembly (100) for wetting a medical device (101) is provided. The assembly has a package (110) for a medical device (such as a catheter) and a compartment (155) for a fluid medium (such as a saline solution containing an antimicrobial agent). This assembly includes a device (160) for removing covering parts of a barrier-film The covering parts (171,172) of the barrier film are used to cover the inlet (130) to the package and the outlet (149) from the compartment prior to use. The barrier-film (170) also includes a pulling part (373,573) which is used for pulling at the covering parts. The film-removal device uses different mechanisms to remove the film For example a toothing mechanism (163,164), a swivel arm (361), a wedge-mechanism (561) and a screw-and-spindle mechanism (761) can be used.

Abstract: A high-flow low-pressure irrigation system for directing a fluid to and recovering the fluid from an area within a body, the irrigation system comprising a sheath defining a sheath lumen and a flexible catheter disposed in and through the sheath lumen. The catheter defines a catheter lumen and comprises a plurality of apertures at a distal portion that curls in a pigtail configuration. The fluid is directed and outputted to the body area through the catheter lumen and the apertures, and the outputted fluid is recovered and returned through the sheath lumen.

Abstract: A connecting device for a catheter assembly is disclosed allowing a user to connect a catheter assembly to an adhesive pad which is then capable of anchoring the catheter assembly to a patient's leg. The connecting device may have an introducer body with an extension body and an attachment mechanism. The connecting device can be rotated along with or within a collar in a circular manner in order to facilitate the making of the connection with the adhesive pad. Additionally, the connecting device may contain an enlarged portion to enhance operability.

Abstract: A urinary catheter kit is provided. The catheter kit includes a catheter with a flared end and a package provided with interior protrusions for cooperating with the flared end of the catheter. The largest outer diameter of the flared end of the catheter is slightly larger than the smallest diameter of the package at the protrusions. Thereby, the protrusions will function as a backstop for the catheter. The rigidity of the catheter at the flared end is selected so that—depending on the angle of the flared end—the flared end will be able to flip over if it is subjected to a force over a predetermined level. Thereby the catheter will be able to be entered back into the package.

Abstract: A catheter comprising an inner sleeve and an outer sleeve surrounding the inner sleeve, the inner and the outer sleeves being longitudinally displaceable relative to one another to enable the catheter to move from an open state to a closed state, each sleeve having a distal portion and a proximal portion, the catheter further comprising a retainer which is open in the open state, and closed in the closed state, the catheter further comprising a lock mechanism comprising lock formed in a lock portion of the catheter for locking the catheter in the open state, and a releaser for releasing the lock, the releaser being adapted to remove at least a part of the lock portion from the catheter.

Abstract: A telescopic device comprising a first telescopic member and a second telescopic member, where the second telescopic member is displaceably arranged within the first telescopic member in a first and a second axial direction along the longitudinal axis of the first telescopic member, a coupling arrangement for limiting the displacement of the second telescopic member relative to the first telescopic member where the coupling arrangement has a first and a second coupling configuration.

Abstract: A urine collection system includes a collection element configured for operable connection to a catheter for accumulating urine expelled from a subject and defining an opening for passage of the urine from the collection element and a drainage device extending from the collection element and positioned about the opening in the collection element. The drainage device includes a drain spout defining an outlet port disposed above the opening in the collection element. Urine collected in the collection element exits the opening within the collection element to be drained through the outlet port of the drain spout until the volume of urine reaches a predetermined level below the outlet port. Upon reaching the predetermined level, the urine remaining within the drainage device establishes a fluid trap substantially preventing contaminants from entering the collection element through the opening.

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 catheter assembly allowing for non-contaminated insertion of the catheter into the urinary canal. The catheter assembly includes a urinary catheter, a catheter package and a sealing member. The urinary catheter defines a conduit and has a proximal end adapted for insertion into the urinary canal and an opposite distal end. The catheter package has a hose with a cavity for accommodation of the catheter, and a catheter outlet adapted to dismantle the proximal end of the catheter from the catheter package. The sealing member is adapted to provide a substantially liquid-tight seal between the catheter package and the urinary catheter while the catheter is being dismantled.

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: An external control valve such as for an indwelling urethral catheter allows for selectively controlled urination via manual manipulation. The external valve is actuated by palpation as the patient compresses a proximal portion toward a distal portion of the valve. The valve includes a hollow stem having a bore in the wall thereof that is kept closed through the use of a biasing spring. Once the spring is compressed by the patient, bore is positioned within an opening in the distal portion, allowing urine to flow out of an opening in the proximal end of the valve.

Abstract: The present invention includes an apparatus for gripping a catheter and methods employing it. The catheter grip can be configured to surround a shaft of a catheter and allow a person to manipulate the catheter without the person touching the insertable length of the catheter. The method includes grasping the gripping apparatus for removing the catheter from its package and for inserting the catheter into an urethra.

Abstract: A catheter assembly is disclosed comprising: a hydrophilic catheter; a wetting fluid for wetting of the catheter; and a receptacle enclosing at least the insertable part of the catheter and the wetting fluid. Further, the wetting fluid is a solution incorporating at least one osmolality-increasing compound, and the total concentration of the osmolality-increasing compound(s) is very high, preferably exceeding 600 mOsm/dm3. The wetting fluid could either be arranged in contact with the hydrophilic surface layer of the catheter in the receptacle, for preservation of the hydrophilic surface layer in a wetted state during accommodation in said receptacle and provision of a ready-to-use catheter assembly, or be arranged to keep the wetting fluid separated from the hydrophilic surface layer of the catheter during storage, but to be brought into contact with said hydrophilic surface layer upon activation before an intended use of the catheter. A similar method and wetting fluid is disclosed as well.

Abstract: A disposable hydrophilic catheterization device for inserting a hydrophilic catheter into the urethra of an individual for the purpose of evacuating the bladder is disclosed. The catheter device includes a catheter introducer, a flexible hydrophilic catheter and a flexible thin-walled sheath. The sheath surrounds the urethra-insertable portion of the catheter, is adapted for containing a wetting liquid, and prevents pooling of the wetting liquid with collected urine. A leak-resistant diaphragm disposed within the catheter introducer is capable of being pierced by the catheter tip to form a leak-resistant orifice around the wetted hydrophilic catheter as it moves through the orifice.

Abstract: A portable negative pressure wound therapy system includes a dressing assembly for positioning over a wound to apply a negative pressure to the wound and a canister assembly. The canister assembly includes a control unit having a vacuum source and a controller and a collection canister in communication with the dressing assembly operable to receive fluid from the wound. The collection canister has a filter assembly having a filter and a passageway between the filter and a wall of the collection canister. The collection canister also includes a canister interface having a suction port, an inlet port, and a channel. The vacuum source draws air through the suction port from the channel which draws air from the passageway connected to the channel, the air in the passageway is drawn from the collection canister through the filter, and the air in the collection canister is drawn through the inlet port.

Abstract: Methods and devices for preventing urinary tract infections in catheterized patients are disclosed. The device may be a cylindrically shaped antimicrobial hydrogel having a central opening and a slit along its length so that it can be applied directly over a previously inserted urinary catheter. An optional locking mechanism disposed about the slit can be used to secure the antimicrobial device to a catheter shaft. The antimicrobial device has features that conform to tissues near both male and female urethral openings. The inner surface of the device is adapted to provide for releasable engagement with the shaft of the urinary catheter. In one embodiment, the device may be placed on a urinary catheter prior to inserting the catheter in a patient. Locking fittings to secure the antimicrobial device against the urethral opening may also be used. Antimicrobial agents can be incorporated within the hydrogel or coated onto its surface.

Abstract: A flexible removable catheter with varying bell-shaped cross sectional widths for insertion through the urethra extending into the bladder to allow urine to flow through a urine passageway into a catheter bag.

Abstract: A suction head in fluid communication with a pump head provides a sub-ambient working pressure to a target area, enabling drainage thereof to a waste container. The pump head is coupled non-mechanically to a pump drive. A control system for a suction system is also provided.

Abstract: The present invention relates to implantable devices, which are coated or coatable with liposomes. The present invention further relates to liposomes encapsulating nucleic acids termed lipoplexes, to methods for the manufacture and coating of such implantable devices, and to the use of such implantable devices to improve treatment of patients with coronary artery disease or other vascular diseases and cancers.

Abstract: A medical device is disclosed, comprising a substrate, having on its surface, on at least a part thereof, a hydrophilic surface layer providing low-friction surface character of the medical device when wetted by a wetting fluid. The substrate is made of a polymer blend comprising a polyolefin and a composition having molecules with active hydrogen(s), such as polyamide or polyurethane. The hydrophilic surface layer is preferably adhered to the substrate by a polyurea network, whereby said polyurea network forms a covalent bond to said active hydrogen(s) in the substrate. The new substrate material is environmentally acceptable and cost effective, has adequate mechanical and chemical properties and enables the hydrophilic coating to be adequately adhered.

Abstract: A catheter assembly (200) includes drain tubing (201) extending from a catheter connector (203) to a drain bag (202). The drain tubing (201) includes a first elongated section (205), a helical section (206), and a second elongated section (207). The helical section (206) can be configured to be expanding and self-retracting, thereby eliminating dependent loops that lead to pooled fluids or air-fluid locks. A hanger (215) can be configured with a mechanical connection to help align and stiffen the drain tubing (201). A valve (212) can be color-coded to indicate whether it is open or closed.

Abstract: An extra-labia urine voiding apparatus including a container sized and shaped to externally cover a vulval region of a female anatomy. The container has an open side and defines a reservoir that is adapted for receiving urine. The container also includes a surface disposed at a top of the container adapted to face and generally surround a periphery of the vulval region. The voiding apparatus also includes a conduit in fluid communication with the reservoir of the container and adapted for draining urine from the reservoir.

Abstract: A catheter includes an elongate member (12) having a proximal end and a distal end. The distal end has at least one drainage opening (20). At least one of; the at least one drainage opening (20) is a single elongate opening, or is two circumferentially spaced elongate openings (FIG. 5), or is at least three staggered openings (FIG. 3), or is an array of staggered openings (FIG. 3). Alternatively or additionally, a sleeve member (10) is arranged on the elongate member (12) and is movable at least between a first position (FIG. 1) covering the at least one drainage opening (20) and a second position (FIG. 2) which allows fluid to pass into the catheter. A method of using the catheter includes inserting a catheter having a retractable sleeve (10) into a user's body and retracting the retractable sleeve (10) to expose drainage openings (20) and drain fluid from the body.

Abstract: A catheter is described herein, having a catheter shaft including a proximal end and a distal end, a tip attached to the distal end, including first and second legs spaced apart to form a slot therebetween, the slot in fluid communication with a lumen of the catheter shaft, and a bladder inflatable element positioned over an outer surface of at least one of the first and second legs.

Abstract: A catheter assembly (1) includes an inner member (12) having a proximal end (15), a distal end (13), and a lumen configured to store a hydrating fluid (28) An outer member (10) has a proximal end (19), a distal end (16), and a lumen configured to receive therein a portion of the inner member (12) The outer member (10) is movable relative to the inner member (12) at least one of between a first position (FIG. 1) preventing fluid (28) from passing out of the at least one drainage opening (14) from within the lumen of the inner member (12) and a second position (FIG. 2) allowing fluid (28) to pass out of the at least one drainage opening (14) from within the lumen of the inner member (12).

Abstract: A catheter, and preferably a urinary catheter, is disclosed, comprising an elongate shaft, an insertable end formed in or connected to one end of the elongate shaft, and a discharge end formed in or connected to the opposite end of the elongate shaft. Further, the catheter further comprises an insertion aid at least partly encircling the discharge end, and being integrally and releasably connected to the discharge end. Hereby, easy production is achieved, and at the same time, the insertion aid may easily be removed for use as an insertion aid when using the catheter.

Abstract: A urinary catheter is disclosed comprising an elongate shaft with an insertion end, a handle connected to the elongate shaft at a distance from the aid insertion end, and a discharge end extending past the handle in a direction opposite the insertion end. The elongate shaft is provided with at least one discharge channel having an elongate opening extending along the elongate shaft, wherein the discharge channel(s), including the elongate opening, further extends at least partly into the discharge end.

Abstract: A catheter assembly is disclosed, comprising a catheter, such as a urinary catheter, which at least a partly is provided with a hydrophilic coating. The catheter assembly further comprises a wetting fluid. The receptacle is in direct contact with the hydrophilic coating of the catheter over essentially the entire length of the part of the catheter being provided with the hydrophilic coating. This may e.g. be achieved by using a shrink wrap material. In order to accomplish adequate wetting, channels or the like may be provided on the inner surface of the receptacle or the outer surface of the catheter.

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: An anastomosis device that includes a catheter body is provided. A distal end portion of the catheter can include a spring device to prevent the formation of blood clots and to improve the flow of urine out of the catheter. The device may be used, for example, in performing procedures such as a vesico-urethral anastomosis in association with a radical prostatectomy, or with an end-to-end urethral anastomosis.

Abstract: A kit for preparing a medical catheter from catheter sections comprises a tubular protective member surrounding a first, proximal one of the catheter sections. The kit further comprises a joint for interconnecting the catheter sections, the joint defining a substantially liquid tight seal at one end of a substantially annular and longitudinally extending cavity provided between the proximal end portion of the first catheter section and an inner wall of the tubular protective member. Following removal of the tubular protective member, one of the catheter sections is exposed and ready for insertion into the urehtra.

Abstract: A suprapubic urethral catheter has a hollow tube with a suprapubic section (1), a bladder section (2) and a urethral section (3). An abdominal stop (5) is slidably mounted on the suprapubic section (1), and the bladder section (2) has drainage eyeholes (4) which enable urine from the bladder to drain into the catheter. A non-return cuff (6) is mounted on the bladder section between the drainage eyeholes (4) and the abdominal stop, the non-return cuff (6) having a projecting portion projecting outwards from the tube, being deformable towards the tube and resisting deformation away from the tube. The cuff (6) allows the catheter to be inserted into a suprapubic track in the abdominal wall of a user, but once the cuff has entered the bladder, the projecting portion prevents retrograde movement of the catheter out of the suprapubic track.

Abstract: The vaginal barrier and female urethral catheterization assisting device system may include a semi-rigid member that is configured for positioning within a vagina. The system may include a generally longitudinal base member that is affixed to the semi-rigid member. The generally longitudinal base member may define a recessed portion distal to the semi-rigid member. The recessed portion may be configured to allow a catheter to be inserted into a urethra.

Abstract: Equipment for use in changing a catheter, preferably of the type used for drainage of the urinary tract. The urinary catheter is used as an aid in emptying the urinary bladder in conditions where this cannot be done in the normal manner. The equipment of the present invention includes a sleeve mounting unit which is mounted to an indwelling catheter, and which has a branch member formed in one piece therewith and extending at an acute angle therefrom, for reception of an elongated sleeve having a longitudinal slit. The sleeve is positioned on the branch member and then progressively advanced onto the catheter, causing the slit to become enlarged as the sleeve surrounds the upstream portion of the catheter in a yielding manner. The catheter may then be quickly removed through the sleeve and a new catheter inserted in its place.

Abstract: This invention provides a modified catheter/indwelling device biomaterial that provides both immediate, and long-term microbiocidal effects on otherwise antibiotic-resistant strains of microorganisms. The material, which exhibits good mechanical performance characteristics for medical devices, is composed of a hydrophobic polyurethane (PU), a hydrophilic polyethylene vinyl acetate (PEVA) as an option, a soluble silver salt and a sparsely-soluble silver salt. The hydrophobic polyurethane provides the good physical properties, the PEVA the hydrophilicity necessary to allow some water ingress into the catheter, the soluble silver salt for an immediate burst effect, and the sparsely-soluble silver salt for sustained-release over many months postimplantation. Alternatively, the sparsely soluble silver salt can be silver iodate and is combined with silver sulfadiazine. Chlorhexidine can also be included in the material.

Abstract: A urinary catheter with an improved retaining and activating feature is provided which is a safe device with reduced irritation and discomfort to a patient. The retaining mechanism positioned at the proximal end of the catheter assumes a “closed” state for introduction and removal of the catheter into and from the urethral tract, and is transitioned into the “open” state when the catheter is in the bladder by mechanically manipulating the retaining mechanism through an activation mechanism having a syringe based actuator with a plunger selectively displaceable within a receiving member.

Abstract: Disclosed are implantable or insertable medical devices that provide resistance to microbial growth on and in the environment of the device and resistance to microbial adhesion and biofilm formation on the device. In particular, the invention discloses implantable or insertable medical devices that comprise at least one biocompatible matrix polymer region, an antimicrobial agent for providing resistance to microbial growth and a microbial adhesion/biofilm synthesis inhibitor for inhibiting the attachment of microbes and the synthesis and accumulation of biofilm on the surface of the medical device.

Abstract: A disposable hydrophilic catheterization device for inserting a hydrophilic catheter into the urethra of an individual for the purpose of evacuating the bladder is disclosed. The catheter device includes a catheter introducer, a flexible hydrophilic catheter and a flexible thin-walled sheath. The sheath surrounds the urethra-insertable portion of the catheter, is adapted for containing a wetting liquid, and prevents pooling of the wetting liquid with collected urine. A leak-resistant diaphragm disposed within the catheter introducer is capable of being pierced by the catheter tip to form a leak-resistant orifice around the wetted hydrophilic catheter as it moves through the orifice.

Abstract: A urinary catheter stabilizer comprises a body member, a rotatable adhesion member, and an adhesive laminar membrane. The body member includes an upper cradle member that is hingedly attached to a lower cradle member. Each of the upper and lower cradle members is adapted to receive a bellows of a urinary catheter. The bellows includes oppositely disposed proximal and distal ends and a ribbed portion extending therebetween. Each of the upper and lower cradle members includes a proximal end portion, a distal end portion, and a main body portion extending between the proximal and distal end portions. The rotatable adhesion member is securely connected to the lower cradle member. The rotatable adhesion member includes a base portion having oppositely disposed first and second surfaces. The adhesive laminar membrane includes oppositely disposed first and second major surfaces. A portion of the first major surface is securely attached to the first surface of the base portion of the rotatable adhesion member.

Abstract: A urological medical system for performing a controlled hydrodistention of the urinary bladder for treating a bladder dysfunction problem comprised of a programmed CPU with associated computer equipment for facilitating an automatic control of a treatment procedure to be performed on a patient, a saline solution warmer, a saline solution pump, a four-way catheter wherein a channel is provided for monitoring the pressure within the bladder during the procedure, a syringe for infusing a medicine through the catheter and a strapping device to secure the syringe and to slidingly engage the catheter to a leg of the patient. Desired parameters are monitored during the procedure and a desired pressure is maintained in the bladder for a predetermined time to perform the controlled hydrodistention of the urinary bladder.

Abstract: A medical device is disclosed, comprising a substrate, having on its surface, on at least a part thereof, a hydrophilic surface layer providing low-friction surface character of the medical device when wetted by a wetting fluid. The substrate is made of a polymer blend comprising a polyolefin and a composition having molecules with active hydrogen(s), such as polyamide or polyurethane. The hydrophilic surface layer is preferably adhered to the substrate by a polyurea network, whereby said polyurea network forms a covalent bond to said active hydrogen(s) in the substrate. The new substrate material is environmentally acceptable and cost effective, has adequate mechanical and chemical properties and enables the hydrophilic coating to be adequately adhered.

Abstract: One embodiment is an improved method for providing a tube for attachment to a medical device such as a catheter that provides for intermittent changes in tube path length as a result of body movement thereby reducing the stress and pain caused by pulling on the device, as well as the optional provision to provide a very low, controlled tension that provides improved stability of the medical device without damage to the surrounding body tissues. This controlled tension can be applied or removed intermittently by a medical practitioner or the patient. The tubal devices shown in Fig and Fig both provide for extension in tubal path length while simultaneously providing for intermittent or continuous low tension pull on the catheter. Provision is also made for a continuous smooth fluid path with no moving internal parts.