Provided herein are methods and compositions for treating bone osteonecrosis comprising: at least one of a Gelatin tyramine (GT), a gelatin-heparin tyramine (GHT), a gelatin methacryloyl (GelMa), a gelatin acryloyl (GelAC), collagen, or a hydrogel-forming peptide that can be formed ex vivo or in situ for the treatment of bone osteonecrosis; at least one bone growth promoting agent or a macrophage depletion reagent; and optionally one or more pharmaceutically acceptable carriers.

A fluid source management system (100) comprising a structure (101) that supports one or more fluid sources (103), sensors (102) that determine the fluid state of the fluid sources (103), at least one common reservoir (108) for storing the fluid, tubing (104) connecting the fluid sources (103) to the common fluid reservoir (108) and a controller (105) that controls the opening and closing of the tubing (104) based upon the fluid state of the fluid sources (103).

A method and a wash, clean and dry system are provided for washing, cleaning and drying a surface region of a human body. The system includes a toilet seat assembly with a bidet assembly having a spray canister device for spraying the surface region with a solution, such as a skin protecting barrier solution, a cleaning solution or a medicated solution. In one aspect, the spray canister device can be movably insert into and out of the toilet seat assembly and is easy to operate and use. In addition, the bidet assembly further includes a spray nozzle assembly and a drying nozzle assembly, which are adapted to wash, clean and dry the region of the human body in three dimensional moments. The removable spray canister device with the removable sleeved cover element is thus easy to carry and be re-filled with new solutions.

A lavage unit may include a handpiece configured to house a pump to which an irrigation tube is connected. The pump may include a bellows defining a pump chamber. When the bellows is reciprocated by a linkage, the bellows draws irrigation fluid from the irrigation tube into the pump chamber and then discharges the fluid out of the pump chamber through an outlet. The pump further includes a section formed from compressible or flexible material that defines a supplemental chamber. The linkage is connected to said pump to alternatively compress the bellows forming the pump chamber and the material forming the supplemental chamber. During the movement of the linkage a valve located between the pump chamber and the supplemental chamber reciprocates with the linkage.

A catheter for use with an injection apparatus, preferably for rectal irrigation. The catheter has a main body with a funnel-shaped part delimited by an annular funnel wall which tapers into an elongate tubular catheter part delimited by an annular catheter wall. The main body accommodates at least a liquid flow channel and a fluid flow channel and the liquid flow channel is adapted to expel a liquid via at least one injection opening in a free end of the elongate tubular catheter part opposite the funnel-shaped part. An expandable balloon surrounds an elongate fixation section of the elongate tubular catheter part a distance from its free end, and the fluid flow channel is adapted to, via at least one delivery opening provided in the annular catheter wall of the elongate fixation section of the elongate tubular catheter part, deliver a fluid to the expandable balloon.

A medical device is provided for irrigation of a patient wound site. The device contains a tube having a proximal portion adapted to receive an irrigation solution, a distal portion having a nozzle and an intermediate portion for transporting the solution. The tube has a barrel portion that may be manipulated by a user to position the device relative to the wound site. A distinctive nozzle has a body formed with a distally leading channel presenting a semispherical first spatial conformation and a proximally leading opening formed in the body presenting a second spatial conformation intersecting the semispherical terminus. This geometry, derived from principles of flow mechanics discussed herein, defines what will be described as an “effective diameter” of the nozzle. An assembly and system utilizing the device am also disclosed. The invention utilizes a fluid-isolating durable peristaltic pump for a continuous flow of irrigation solution, along with a single use tube set that embodies the device.

A method and a wash, clean and dry system are provided for washing, cleaning and drying a surface region of a human body. The system includes a toilet seat assembly with a bidet assembly having a spray canister device for spraying the surface region with a solution, such as a skin protecting barrier solution, a cleaning solution or a medicated solution. In one aspect, the spray canister device can be movably insert into and out of the toilet seat assembly and is easy to operate and use. In addition, the bidet assembly further includes a spray nozzle assembly and a drying nozzle assembly, which are adapted to wash, clean and dry the region of the human body in three dimensional moments. The removable spray canister device with the removable sleeved cover element is thus easy to carry and be re-filled with new solutions.

A connector is disclosed that attaches an irrigation catheter to tubing of an anal or stomal irrigation system. The connector has a housing, a pressure control device retained within the housing, and a restriction element. The pressure control device has an inlet channel on a distal side of the pressure control device communicating along an irrigation flow path with an outlet channel on a proximal side of the pressure control device, and a secondary outlet located between the inlet channel and the outlet channel and in communication with the irrigation flow path. The restriction element is inserted into the secondary outlet.

A method for operating a fluid management system includes automatically detecting an unstable condition in the system, which may include detecting a large change in the supply fluid amount (indicative of a bag change), detecting a large change in the waste fluid amount (indicative of a bag change), or detecting a large difference between the amount of fluid dispensed as measured by the weight data and the amount of fluid dispensed as measured by the flow data (indicative of a blockage in the supply tubing). The method further includes adjusting the operating mode of the system during the unstable condition, which may include switching to using flow data rather than weight data to track the fluid deficit during a supply bag exchange, halting operation of an outflow pump during a waste container exchange, and/or halting operation of the system during a blockage in the supply tubing.

A trans-anal irrigation (TAI) device has a pump base unit, an irrigation fluid reservoir, a wireless electronic controller, fluid tubing, and a disposable rectal catheter in fluid communication with the tubing. The rectal catheter has a retention balloon and a waste control valve. The fluid tubing contains two or three separate lumens for irrigation fluid and retention balloon inflation/deflation and optionally for waste control valve actuation. None of the lumens ever communicates with any other lumen. A hydraulic control circuit has a pump that pumps in one direction only but, with suitable control valves, is able to pump water to and from the retention balloon and to and from an optional waste control valve. A water temperature sensor is mounted in the pump base unit at a thin-wall section. The temperature sensor sends a signal to a controller which provides an indication of whether the water temperature is suitable for use.