A system can include a housing that can be coupled with a base catheter. The system can further include an access catheter of which a first portion is positioned within the housing and a second portion extends out of the housing through an opening when the access catheter is in a retracted position. The system can further include a stiffener encompassing at least a portion of the second portion of the access catheter, and the stiffener can be graspable at an exterior of the housing for application of force thereto to advance the access catheter from the retracted position to an extended position. When the housing is coupled to the base catheter, the first portion of the access catheter can be advanced through at least a portion of the base catheter as the access catheter is advanced to the extended position.

An apparatus includes a pre-sample reservoir, a diversion mechanism, and a flow metering mechanism. The diversion mechanism has an inlet port couplable to a lumen-defining device to receive bodily-fluids from a patient, a first outlet port fluidically couplable to the pre-sample reservoir, and a second outlet port fluidically couplable to a sample reservoir. The diversion mechanism defines a first fluid flow path and a second flow path that are configured to place the first outlet port and the second outlet port, respectively, in fluid communication with the inlet port. The flow metering mechanism is configured to meter a flow of a predetermined volume of bodily-fluid through the first fluid flow path into the pre-sample reservoir, to meter a flow of a second volume of bodily-fluid through the second fluid flow path into the sample reservoir, and to display a volumetric indicator associated with the predetermined volume and the second volume.

A fluid control device includes an inlet configured to be placed directly or indirectly in fluid communication with a bodily fluid source and an outlet configured to be placed in fluid communication with a fluid collection device. The fluid control device has a first state in which a negative pressure differential produced from an external source such as the fluid collection device is applied to the fluid control device to draw an initial volume of bodily fluid from the bodily fluid source, through the inlet, and into a sequestration portion of the fluid control device. The fluid control device has a second state in which (1) the sequestration portion sequesters the initial volume, and (2) the negative pressure differential draws a subsequent volume of bodily fluid, being substantially free of contaminants, from the bodily fluid source, through the fluid control device, and into the fluid collection device.

A blood sample collection system, may include a housing, the housing including a blood collection port; and a baffle chamber; a needle formed through the housing and into the blood collection port; and a baffle formed within the baffle chamber to counteract a vacuum within a blood collection tube when pierced by the needle.

Provided herein are systems, devices and methods for catheterization including arterial catheterization. An arterial catheter system, comprising a) a flexible tube sized for insertion into the artery of a subject defining at least one channel, b) a chamber portion connected at its distal end to the flexible tube, wherein the chamber defines an inner space that is fluidly connected to the channel of the flexible tube, c) a self-sealing membrane positioned within the inner space at the proximal end of the chamber portion so as to confine fluid within the inner space of the chamber, and d) an insertion needle having a needle point at its distal end operably connected at its proximal end to a guide wire, wherein the needle and guide wire collectively project along a longitudinal path through the self-sealing membrane into the inner space of the chamber portion and through the channel of the flexible tube.

An apparatus includes a housing, a fluid reservoir, a flow control mechanism, and an actuator. The housing defines an inner volume and has an inlet port that can be fluidically coupled to a patient and an outlet port. The fluid reservoir is disposed in the inner volume to receive and isolate a first volume of a bodily-fluid. The flow control mechanism is rotatable in the housing from a first configuration, in which a first lumen places the inlet port is in fluid communication with the fluid reservoir, and a second configuration, in which a second lumen places the inlet port in fluid communication with the outlet port. The actuator is configured to create a negative pressure in the fluid reservoir and is configured to rotate the flow control mechanism from the first configuration to the second configuration after the first volume of bodily-fluid is received in the fluid reservoir.

A system for confirming acquisition of a fluid sample is provided. The system includes a wearable electronic device configured to be worn by a user. The device has a housing, at least one imaging sensor associated with the housing, a data transmission interface for sending data to or receiving data from an external electronic device, a microprocessor for managing the at least one imaging sensor and the data transmission interface, and a program for acquiring and processing images acquired by the at least one imaging sensor. The system further includes a sampling device for collecting a fluid sample in a sample container and at least one identification tag attached to or integrally formed with the sampling device or sample container. The at least one identification tag includes or is associated with a tracking code.

An apparatus includes a housing, defining an inner volume, and an actuator mechanism movably disposed therein. The actuator mechanism is configured to be transitioned from a first configuration to a second configuration to define a pre-sample reservoir fluidically couplable to receive a pre-sample volume of bodily-fluid via an inlet port of the housing. The actuator mechanism is movable from a first position to a second position within the housing after the pre-sample reservoir receives the pre-sample volume such that the housing and the actuator mechanism collectively define a sample reservoir to receive a sample volume of bodily-fluid via the inlet port. The outlet port is in fluid communication with the sample reservoir and is configured to be fluidically coupled to an external fluid reservoir after the sample volume is disposed in the sample reservoir to transfer at least a portion of the sample volume into the external fluid reservoir.

A blood collection system can include a cannula for insertion into a catheter system that comprises a hub with an internal chamber, a distal port in fluid communication with the internal chamber and coupled with a catheter tube that can be preplaced in a blood vessel of a patient, and an access port in fluid communication with the internal chamber. The cannula can be inserted in the catheter tube and can include a distal opening that is positioned within the blood vessel of a patient and is in fluid communication with an interior of the blood vessel to permit blood to flow into a lumen of the cannula, and can include a proximal opening positioned within the internal chamber to permit blood to flow from the cannula into the internal chamber and through the access port of the hub.

Bioartificial ultrafiltration devices comprising a scaffold comprising a population of cells enclosed in a matrix and disposed adjacent a plurality of channels are provided. The population of cells provides molecules such as therapeutic molecules to a subject in need thereof and is supported by the nutrients filtered in an ultrafiltrate from the blood of the subject. The plurality of channels in the scaffold facilitate the transportation of the ultrafiltrate and exchange of molecules between the ultrafiltrate and the population of cells.