A system includes an implantable device including a pump to pump the fluid from the peritoneum to the bladder via respective catheters, control circuitry, battery and transceiver; a charging and communication system configured to periodically charge the battery and communicate with the implantable device to retrieve data reflective of the patient's health; and monitoring and control software, suitable for use with conventional personal computers, for configuring and controlling operation of the implantable device and charging and communication system. The monitoring and control software allows a treating physician to remotely adjust the volume, time, and frequency with which fluid is pumped from the peritoneal cavity to the bladder based on the data reflective of the patient's health.

A device and methods for treating renal failure are disclosed. One embodiment of the device is an implantable peritoneal dialysis device. When in use, the device can have a semi-permeable reservoir implanted in the peritoneal cavity. The reservoir can receive blood waste and drain through one or more conduits, via a pump, to the biological bladder. Solids and/or a solution benefiting dialysis can be pumped to the reservoir and/or implanted in the peritoneal cavity.

[Object] To provide a tube joining device in which the degree of freedom of device design is improved.

[Solving Means] A tube joining device 1 includes a delivery mechanism 500. The delivery mechanism includes a first pusher member 542 that is provided to perform forward movement and backward movement along a delivery direction and delivers a wafer WF to a first position PS2 that is set between a take-out position PS1 at which the wafer WF is taken out from a cassette WC and a stand-by position PS3, and a second pusher member 543 that is provided to perform forward movement and backward movement along the delivery direction in combination with the first pusher member, and delivers the wafer from the first position to the stand-by position. An operation of delivering the wafer by the first pusher member is capable of being switched to an operation of delivering the wafer by the second pusher member in synchronization with forward movement and backward movement of the first pusher member and the second pusher member.

The disclosure relates to a subcutaneously implanted port device for establishing access to the vascular system of a patient requiring multiple blood treatments over an extended period of time. The systems, devices and methods disclosed herein may reduce miscannulation, promote intra-session hemostasis, and decrease the incidence of bacteremia and sepsis among other improvements and advantages. The devices include a port with a tapered seat for receiving an access tube, the first tapered seat having a proximal portion, a distal portion, and a conical section extending between the proximal portion and the distal portion; and an interface surface configured to engage a blood vessel or a vascular access catheter. The proximal portion of the tapered seat is configured to receive the access tube therethrough, and the tapered seat creates a mismatch fit with a diameter of the access tube when in use for an increase in flow during treatment.

Peritoneal dialysis, such as automated peritoneal dialysis (APD) is provided with any one or more or all of the following sensing or feedback features: impedance sensing to detect peritonitis, temperature sensing to detect peritonitis, bio-MEMS sensing to detect peritonitis, and glucose control for diabetes patients, wherein each sensing or feedback feature analyzes patient effluent fluid or fluid dwelling within a patient's peritoneal cavity.

The present disclosure is directed to an infusion device and method for preventing infection and microbial ingress in medical device connections. The infusion device comprising a male connector, the male connector comprising a male luer having an antimicrobial agent. In certain implementations the male luer comprises a tapered sealing member further comprising a recess containing chlorhexidine acetate.

A peritoneal dialysis (PD) system includes a housing, a PD fluid pump housed by the housing, and a reusable line in fluid communication with the PD fluid pump. The reusable line is configured to be pulled into the housing. The PD system also includes an external tubing surface cleaning unit positioned and arranged to at least one of (i) remove debris from at least a portion of the exterior of the reusable line as it is pulled into the housing, or (ii) apply disinfectant to at least the portion of the exterior of the reusable line as it is pulled into the housing.

A connection assist device, which secures a connection of a catheter connector end to a patient line connector end, is provided. In one embodiment, the assist device includes a patient line shield, a catheter shield, and a minicap catcher. Each shield and catcher includes a first half and a second half. The patient line shied houses the patient line connector end. The catheter shield houses the catheter connector end. The minicap catcher is sized to receive a minicap initially protecting the catheter connector end. During use, the minicap catcher is inserted into the catheter shield and rotated to remove the minicap, after which the minicap connector is removed. The patient line shield is then inserted into the catheter shield housing to connect the catheter connector end to the patient line connector end.

A manifold assembly for a peritoneal dialysis apparatus, comprises: a casing delimiting internally a first compartment and a second compartment; a yielding pump tube having a first end connected or connectable to the first compartment and a second end connected or connectable to the second compartment. The yielding pump tubes extends outside the casing to be coupled to a peristaltic pump of a cycler of a peritoneal dialysis apparatus. The second compartment delimits expansion chambers configured to attenuate pressure pulsations from the peristaltic pump.

A drainage catheter with retractable internal drains for fluid drainage and irrigation includes a primary catheter for insertion within a subject, a lumen within the primary catheter for conducting fluid flow between a source of fluid drainage or irrigation and the subject, and a plurality of selectively retractable and deployable drains in fluid communication with the lumen. Retraction and deployment of the drains within a subject is accomplished remotely via a specially shaped stylet and common drain connector within the primary catheter. The plurality of drains are enclosed within the primary catheter in the retracted state and extend radially outwardly from the primary catheter in the deployed state. In the retracted state, insertion and location of the primary catheter in a subject are facilitated. In the deployed state, expanded and improved drainage and irrigation area and a plurality of fluid flow paths and locations are provided.