An access port, wherein the access port may include a body having an exterior surface and a chamber defined therein, a bore defined in the body providing fluid communication between the chamber and the exterior surface, a needle in fluid communication with the chamber, a passage defined in the body providing communication between the chamber and the exterior surface, a seal secured within the passage, and an actuator in communication with the needle, configured to move the needle relative to the passage or move the passage relative to the needle.

Devices used to provide access the vasculature are disclosed. The devices may be configured to provide access to a blood vessel, such as an artery. The devices may include a catheter assembly disposed over a needle assembly. The devices may also include a barrel assembly coupled to the needle assembly. A guidewire may be displaceable by barrel assembly within a needle. The needle may include a proximal and distal port.

In some examples, an implantable infusion device (100) using a piezoelectric and/or electrostrictive mechanical pumping catheter (10) includes a reservoir (109) configured to retain for a fluid to be dispensed within a patient, at least one piezoelectric and/or electrostrictive mechanical pumping catheter for dispensing the fluid contained within the reservoir, a transceiver, and a processor (103) to regulate control the operation of the piezoelectric and/or electrostrictive mechanical pumping catheter.

A medical device configured to improve medicament dispersion within a cerebrospinal fluid of a patient. The medical device including an implantable catheter having a distal end configured to be positioned within a flow of the cerebrospinal fluid, a proximal end, a body defining a lumen extending lengthwise along the implantable catheter configured to enable a flow of medicament from the proximal end to an infusion port located in proximity to the distal end, and a piezoelectric element positioned in proximity to the infusion port configured to selectively oscillate during medicament administration to improve dispersion of the medicament within the cerebrospinal fluid.

An access port, wherein the access port may include a body having an exterior surface and a chamber defined therein, a bore defined in the body providing fluid communication between the chamber and the exterior surface, a needle in fluid communication with the chamber, a passage defined in the body providing communication between the chamber and the exterior surface, a seal secured within the passage, and an actuator in communication with the needle, configured to move the needle relative to the passage or move the passage relative to the needle.

A system for refilling a multi-chamber implantable infusion device is presented. The infusion device has a refill chamber which is accessible through an external septum of a refill port. The refill chamber is divided by an inner septum into an upper reservoir and a lower reservoir. The lower refill chamber is refilled with lower reservoir needles having a needle opening axially placed to align with the lower reservoir. The upper reservoir is refilled with an upper reservoir needle having an opening aligned with the upper reservoir. Magnetic portions are provided in the needles to localize and identify the needle. A processor within the infusion device is connected to magnetic field sensors which sense magnetic portions of the needle and recognize information encoded magnetically within the needle.

A vascular access device is disclosed including a needle insertion guide having a proximal end and a distal end a the guide including a needle insertion guide having a proximal end and a distal end and a vessel interface configured for attaching the distal end of the guide to a target on an unbroken outer wall of a blood vessel of a living subject and a skin interface configured for attaching the proximal end of the guide to a skin of the living subject. Optionally the vessel interface is connected to the guide by a flexible joint configured. Optionally two vascular access devices are connected by an electrically conductive connection. Optionally the vascular access device includes a sensor to determine when a needle enters the blood vessel. Optionally the vascular access device serves as a marker for a sensor determining a status of the blood vessel.

A vascular access device is disclosed including a needle insertion guide having a proximal end and a distal end a the guide including a needle insertion guide having a proximal end and a distal end and a vessel interface configured for attaching the distal end of the guide to a target on an unbroken outer wall of a blood vessel of a living subject and a skin interface configured for attaching the proximal end of the guide to a skin of the living subject. Optionally the vessel interface is connected to the guide by a flexible joint configured. Optionally two vascular access devices are connected by an electrically conductive connection. Optionally the vascular access device includes a sensor to determine when a needle enters the blood vessel. Optionally the vascular access device serves as a marker for a sensor determining a status of the blood vessel.

Aspects of the present disclosure include needle devices in which a needle has a notch or slot. A flashback indicator is provided at least in part in the needle lumen at the notch, adjacent the notch, or partially inside and partially outside of the notch. In use, blood flow through the needle lumen is indicated at the flashback indicator. When used with a catheter tube, the flashback indicator can be viewed through the catheter tube. The needle with the notch and flashback indicator may be used with a variety of needle applications, including as catheter assemblies, indwelling assemblies, and most, if not all, over-the-needle type devices.

A method for reducing small volume subcutaneous leaks of therapeutic fluids during procedures to refill an implantable medical device includes reducing pressure in a reservoir of the device. A refill needle can be percutaneously inserted into a fill port in communication with the reservoir and therapeutic fluid can be delivered through the needle into the reservoir. Reduced reservoir pressure upon withdrawal of the refill needle from the port can result in reduced subcutaneous leakage of the therapeutic fluid.