Embodiments of the invention include apparatus and methods for coating drug coated medical devices. In an embodiment, the invention includes a coating apparatus including a coating application unit. The coating application unit can include a fluid applicator having a lengthwise axis and a width. The fluid applicator can include a tip comprising a first face across the width of the fluid applicator. The first face of the fluid applicator can be oriented at an angle of from about 15 to about 75 degrees with respect to the lengthwise axis of the fluid applicator. The fluid applicator can define a second face intersecting the first face. The coating apparatus can further include a rotation mechanism and an axial motion mechanism. Other embodiments are also included herein.

Disclosed are access systems, devices, and methods for internal access to a patient's body. For example, an access device for placing an acute dialysis catheter can include a frame; a housing, a pair of guidewire clamps, and a needle disposed on the frame; a dilator coupled to the frame, and an access guidewire in a ready-to-deploy state of the access device. The pair of guidewire clamps can be disposed on the frame between an end portion of the frame and a distal end of the housing for clamping the access guidewire. A needle hub of the needle can be disposed on the frame between the pair of guidewire clamps. The dilator can distally extend from the end portion of frame. A needle shaft of the needle can distally extend beyond a distal end of the dilator allowing the needle to establish an insertion site for the acute dialysis catheter.

Methods and devices are disclosed that enable safe, rapid and relatively short and straight access to the cerebral arteries for the introduction of interventional devices to treat acute ischemic stroke. In addition, the disclosed methods and devices provide means to securely close the access site to the cerebral arteries to avoid the potentially devastating consequences of a transcervical hematoma.

A system and method for delivering a medicament to a target tissue site in a patient over a period of time. A catheter is configured for implantation in different target tissue sites and extends from a proximal end to a distal end and has a sidewall which defines an internal lumen. The distal end has one or more apertures either in the sidewall or at a distal end for the release of the medicament into the target tissue site; the system also comprises a medicament reservoir fluidly communicable with the internal lumen of each catheter, an adhesive member configured to adhere to the skin of the patient around the exit wound and having an opening therein to allow the catheters to pass through the adhesive member and a retaining member configured to be overlaid on the adhesive member and comprising a guide surface configured to receive a length of the two or more catheters and a plurality of retaining portions to retain the catheters against the guide surface.

A low-profile access port for subcutaneous implantation within a patient. The access port can include a set of receiving cups which can be placed in fluid communication with a catheter. The set of receiving cups can provide a greater skin surface with which to access the port to avoid repeated penetrations at a single locus, such as during consecutive dialysis treatments. The access port can alternatively include needle penetrable arms or elongate chambers that also have a slim, low profile. The access port can include a needle guide to direct subsequent needle access to different insertion points to permit healing at the previous insertion points. The access port can be formed of a modular construction with a first conduit, a second conduit, and an outer shell. The outer shell can include a proximal portion and a distal portion. The access port can include a stem assembly and a locking member.

System and method for bi-directional fluid injection includes a retrograde introducer, a retrograde cannula having an inlet opening, intermediate opening and outlet opening, an antegrade introducer and an antegrade cannula. The retrograde introducer is configured to engage with the retrograde cannula and to insert the retrograde cannula into a fluid channel. The antegrade introducer is configured to engage with the antegrade cannula and to insert the antegrade cannula into the fluid channel from within the retrograde cannula through the intermediate opening. After insertion of both cannulas, both introducers are removed. In operation, fluid flows into the retrograde cannula inlet and a portion thereof is diverted to the antegrade cannula which flows the portion in a first direction in the channel, the remainder of the fluid flows out the retrograde cannula outlet in an opposite direction in the channel. The system is removed from the channel using the introducers in reverse order.

An example medical device includes a vascular device, such as a catheter, and an anti-thrombogenic coating on a surface of the vascular device, such as a surface likely to contact blood. The anti-thrombogenic coating includes one or more peptides configured to interact with fibrinogen in the blood, such as a first type of peptides configured to bind to fibrinogen a second type of peptides configured to inhibit conversion of fibrinogen to fibrin. The anti-thrombogenic coating also includes a polymer, such as a hydrocolloid polymer, a tunable polyethylene glycol (PEG), or other controlled release polymer configured to control release of the one or more peptides and maintain a concentration of the peptides at the surface of the anti-thrombogenic coating above a minimum inhibitory concentration, thereby inhibiting thrombin formation on the intravascular medical device.

An integrated catheter assembly includes a housing member, an outer lumen member extending from the housing member, and a needle member having a needle slidably or movably coupled to the housing member, wherein the needle can be extended beyond the outer lumen. Once a flash of blood is confirmed the needle member is uncoupled from the housing member and removed from within the patent's vein or artery. An inner lumen member having an elongated member housing an inner lumen is then connected to the housing member. A thump slide supported within the elongated member and coupled to the inner lumen is advanced moving the inner lumen through the housing member and the outer lumen into the patient's vein or artery beyond the end of the outer lumen The end of the thump slide/elongated member is connected to tubing extending to a dialysis machine and this tubing is used to transfer clean or detoxed blood from the machine back into the patent. The outer lumen is connected to separate tubing to transfer blood out of the patent to the dialysis machine. The integrated catheter assembly therefore receives and delivers blood through a single injection site. Alternatively, another embodiment is shown where the needle remains within the patient during dialysis.

A catheter includes an elongate shaft having proximal and distal end portions defining a longitudinal axis, and first and second tip segments. The elongate shaft and the first and second tip segments define respective first and second lumens. Each tip segment includes a proximal portion fixed relative to the distal end of the elongate shaft, and a distal portion. Each tip segment defines a side opening in fluid communication with a respective one of the first and second lumens. Each tip segment is movable between a straight configuration in which each respective tip segment is substantially parallel to the longitudinal axis, and a curved configuration in which each tip segment has a concave portion with respect to the longitudinal axis. The side openings face each other along the concave portions.

Disclosed is a multi-lumen catheter having a distal end catheter tip configured to improve fluid flow into and out from the catheter tip while reducing undesired recirculation during hemodialysis treatment of a patient. A first lumen and a second lumen each extends from the catheter proximal end to the catheter distal end, the first lumen and the second lumen being parallel to each other. A septum having a first side and a second side separates the first lumen from the second lumen. Some embodiments of the catheter tip include a beveled shape region, having a first lumen orifice, a second lumen orifice, and a septum top surface. Within the beveled shape region, at least a portion of the septum first side and at least a portion of the septum top surface form a first eave over the first lumen and at least a portion of the septum second side and at least a portion of the septum top surface form a second eave over the second lumen.