The present invention relates to an apparatus comprising at least one multi-lumen tube, wherein the tube has a first group of lumens and a second group of lumens wherein the lumens of the second group are arranged around the lumen(s) of the first group, and wherein the lumen(s) of the first group serve the transportation of at least one first fluid, and wherein the lumens of the second group are filled with at least one functional fluid, wherein the apparatus furthermore comprises at least one actuator which is in communication with at least one of the second lumens and is configured such that at least one property of the functional fluid can be changed by means of the actuator.

A connector assembly for an arteriovenous (AV) graft according to an example of the present disclosure includes, among other possible things, a connector having a first segment arranged a long a first axis having first and second opposing ports and a second segment arranged along a second axis having a third port, each of the first and second ports configured to be joined to first and second portions of an artery or a vein, respectively. At least one ring is configured to connect the first and second ports to the first and second portions of the artery or the vein by applying force about substantially the circumferential extent of the first segment of the connector and the first and second portions of the artery or the vein to join the first and second ports to the first and second portions of the artery or the vein, respectively. An AV graft assembly and method of implanting a connector for an AV graft are also disclosed.

A split-tip catheter for placement within the vasculature of a patient and for use in hemodialysis or other suitable procedures, and methods of use. The split-tip catheter can include a catheter body defining a first lumen and a second lumen, and a split distal region extending from a distal end of the catheter body. The split distal region can include an arterial segment defined by an outer wall enclosing an arterial segment lumen, the arterial segment lumen in fluid communication with the catheter body first lumen, and a venous segment defined by an outer wall enclosing a venous segment lumen, the venous segment lumen in fluid communication with the catheter body second lumen, the venous segment outer wall extending from the catheter body distal end to a distal nose portion. The distal nose portion can taper from a first outer perimeter to a second smaller outer perimeter.

A stylet includes an elongate body defining a passage and at least one aperture in fluid communication with the passage. The stylet also includes a first blocking dam secured to the elongate body proximal to the at least one aperture and a second blocking dam secured to the elongate body distal to the at least one aperture. The stylet is movable within a lumen of a catheter to a position in which the first and second blocking dams are, respectively, proximal and distal to at least one side opening of the catheter and each of the first and second blocking dams is sealingly engaged with an inner surface of the catheter such that fluid introduced into the lumen, from the passage and through the at least one aperture of the stylet, is directed through the at least one side opening of the catheter.

Various systems, devices, and methods for endovascular implants and accurate placement thereof are disclosed. The disclosed implants include a proximal implant segment, a distal implant segment, connector struts connecting the proximal implant segment to the distal implant segment, and a side opening between the proximal implant segment and the distal implant segment. The disclosed implants can be used to create an arteriovenous fistula or connect one vessel of the body to another by placement of the proximal implant segment and the distal implant segment within the vessels to be connected. The disclosed implants can include one or more anchors for securing the implant in place with respect to the vessels of the body it is connecting. The disclosed implants can also include a continuous strut or ring at a distal edge of the proximal implant segment. Also disclosed are methods for accurate percutaneous placement of the implants disclosed, and a device for percutaneous delivery.

A dialysis machine (e.g., a peritoneal dialysis (PD) machine) can include a pressure sensor mounted at a proximal end of a patient line made of a distensible material that provides PD solution to a patient through a catheter. During treatment, an occlusion can occur at different locations in the patient line and/or the catheter. When an incremental volume of additional solution is provided to the patient line while the occlusion is present, a change in pressure results. The change in pressure depends on the dimensions and the distensibility of the non-occluded portion of the patient line. If the change in pressure, the incremental volume, the properties related to the distensibility of the patient line, and some of the dimensions of the patient line are known, the location of the occlusion can be inferred. The occlusion type can be inferred based on the determined location.

The present invention is directed to a dual lumen cannula configured to be inserted into a patient's body as simple as a single lumen cannula. The dual lumen cannula includes at least one inner lumen configured to be inserted into an outer lumen and connected via an inner lumen connection unit and an outer unit connection unit. Embodiments of the presenting invention further allow for the connection of at least one flow router to the other end of the inner lumen connection unit. When installed, the outer lumen is first inserted into the patient's body, followed by the insertion of the inner lumen into the outer lumen of the already cannulated patient until the inner lumen connector unit is in coupling contact with the outer lumen connector unit. Advantages of the inventive cannula presented herein include, among other things, reduction of external forces on the dual lumen cannula.

An extracorporeal blood line set for a blood treatment machine or as part of a blood treatment machine, especially a dialysis machine. The extracorporeal blood line set includes an arterial blood line having a distal patient access and a proximal device port, preferably a dialyzer port, a venous blood line having a distal patient access and a proximal device port, preferably a dialyzer port, and at least one fluid supply line which is connected to the arterial and/or venous blood line(s) in at least one port section of the arterial and/or venous blood line(s) and at one end includes a container port or a fluid container. The at least one port section is in the form of a Venturi nozzle.

A medical implant includes a primary tubular member having a first end and a second end and defining a primary longitudinal axis and a primary lumen. The primary tubular member is disposed in an arterial-venous connection. The medical implant also includes a baffle disposed transversely to the primary longitudinal axis within the primary lumen. The baffle defines at least one aperture therethrough.

A catheter assembly includes: a catheter including a circumferential wall and a distal opening; an inner needle inserted through the catheter, the inner needle having a sharp needle tip at a distal end of the inner needle; and a deflection suppression mechanism that supports the inner needle via the catheter to suppress deflection of the inner needle, the deflection suppression mechanism including a contact support portion that is configured to support the catheter when the catheter is advanced with respect to the inner needle. The circumferential wall of the catheter includes one or more side holes. In an initial state before the catheter is advanced with respect to the inner needle, the contact support portion is located proximal of a distal-most one of the one or more side holes and a gap is formed between an outer surface of the catheter and an inner surface of the contact support portion.