An improved method and device are provided for forming and/or maintaining a percutaneous access pathway. The device generally comprises an access pathway and attachment device. The provided assembly substantially reduces the possibility of iatrogenic infection while accessing and/or re-accessing a body space.

An implantable access port for use in transferring fluid transdermally between an external fluid storage or dispensing device and a site within a patient is disclosed. The access port includes a body, at least two reservoirs defined within the access port body, and at least one septum secured to the body and enclosing the reservoirs within the body. The access port also includes reservoir outlets defined within the reservoirs. The access port also has body conduits defined within the body and in fluid communication with the reservoir outlets and external openings defined in the exterior of the body. An implantable access port and system for use in apheresis is also provided that includes an implantable access port, at least one needle, and a catheter that is fluidly connected to the access port.

A delivery adapter which may be used as an interface between a syringe and a catheter hub is described.

A device for positioning a subcutaneous port during an access procedure, said device comprising a dome (1) of plastic material, said dome being shaped to fit directly over the subcutaneous port, and a flange (3) extending laterally from the dome which is able to contact a surrounding skin area, wherein the device is a unitary device which is configured to be deformable or fracturable so as to facilitate removal of the device from the surrounding skin area.

A variable volume infusion port is provided. The infusion port may include a port body having an internal fluid reservoir, a septum, a stem to fluidly couple to a catheter lumen, and a displaceable member disposed in the internal fluid reservoir. In a first position, the displaceable member is disposed proximate the septum, providing a relatively small fluid volume within the infusion port. Insertion of an injection device through the septum causes the displaceable member to move to a second location distal from the septum, providing a relatively large fluid volume within the infusion port for the duration the injection device remains in the infusion port. The displaceable member may include a rigid member operably coupled to a biasing element or a flexible member coupled to a biasing element.

Invasive medical devices including a substantially non-eluting antimicrobial treatment are disclosed. One or more external and/or internal surfaces of the medical device include a substantially non-eluting copper-coated surface that assists in preventing microbial colonization of the coated surface. This in turn reduces the incidence of infection to the patient originating from the medical device. In one embodiment, a catheter assembly is disclosed and comprises an elongate catheter tube that defines at least one lumen, at least one extension leg including a luer connector, and a bifurcation hub including at least one fluid passageway that provides fluid communication between the extension leg and the lumen. A substantially non-eluting copper coating is disposed on a surface of at least one of the lumen, the extension leg, the luer connector, and the fluid passageway. The coating is applied via an electroless deposition process. A water-shed coating is disposed on the copper coating.

A stabilizing connector includes a connector portion and a stabilization portion. The connector portion is configured to couple to an access device. The connector portion defines at least one lumen that is configured to be placed in fluid communication with a lumen of the access device. The stabilization portion is coupled to the connector portion. The stabilization portion is configured to be placed in contact with a surface of a patient's skin to stabilize at least one of the stabilizing connector or the access device.

A vascular access implant and system for connecting an intracorporeal blood circulation to an extracorporeal blood circulation includes an arterial fluid line for connection to a patient's artery and a venous fluid line for connection to a patient's vein. A controllable artery-vein-connection between the arterial fluid line and venous fluid line controls fluid flow between the arterial fluid line and venous fluid line. An arterial port is in fixed fluid connection with the arterial fluid line for coupling to and decoupling from a first hose of the extracorporeal blood circulation. A venous port is in fixed fluid connection with the venous fluid line for coupling to and decoupling from a second hose of the extracorporeal blood circulation.

Devices, systems and methods are disclosed for the formation of an arteriovenous fistula in the limb of the patient. Embodiments include an apparatus for the creation, modification and maintenance of a fistula, including the modification of an existing dialysis fistula; and a method of supplying oxygenated blood to the venous circulation of a patient. A kit of anastomotic implants is described which supports a broad base of patient anatomies and fistula locations. The devices, systems and methods can be used to treat patients with one or more numerous ailments including chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypotension, respiratory failure, pulmonary arterial hypertension, lung fibrosis and adult respiratory distress syndrome.

The present adjustable-length dual-lumen hemodialysis catheter can eliminate the need to stock various lengths of hemodialysis catheters and can provide a hemodialysis catheter, which can be trimmed to various lengths in order to precisely accommodate patients of various shapes and sizes. Specifically, the present adjustable-length dual-lumen hemodialysis catheter can comprise a cuff ring assembly, which can be secured at selected locations along the trailing limbs of the catheter allowing the cuff ring assembly to be installed in a location chosen to precisely fit a particular patient.