The invention relates to a medical device delivery system comprising a catheter shaft having a proximal end and a distal end portion; an expandable member provided at the distal end portion of the shaft, the expandable member having a delivery configuration and a deployed configuration; the expandable member being folded around the catheter shaft in its delivery configuration; characterized in that a coating is disposed on at least a portion of the outer surface area of the expandable member in its delivery configuration such that the coating does not cover portions of the expandable member located inside the folds of the expandable member in its delivery configuration; and an expandable medical device is mounted on the expandable member in the delivery configuration with the coating being disposed between the expandable member and the expandable medical device.

In some examples, a device includes a catheter insert elongated body defining a body lumen, the catheter insert elongated body being configured to be at least partially inserted to a catheter lumen defined by a catheter without covering a first fluid opening of the catheter and to form a fluidically tight coupling with the catheter, and one or more sensors positioned on the elongated body. At least one of the one or more sensors are configured to sense a substance of interest. The catheter insert elongated body includes a material that is a substantially non-permeable to the substance of interest.

In some examples, a device includes a catheter insert elongated body defining a body lumen, the catheter insert elongated body being configured to be at least partially inserted to a catheter lumen defined by a catheter without covering a first fluid opening of the catheter and to form a fluidically tight coupling with the catheter, and one or more sensors positioned on the elongated body. At least one of the one or more sensors are configured to sense a substance of interest. The catheter insert elongated body includes a material that is a substantially non-permeable to the substance of interest.

Medical devices with a hydrogel layer covalently attached to a portion of the outer surface of the medical device are provided along with methods for applying the coating. The hydrogel layer can include a first polymer species comprising polyethylene glycol (PEG) and a second polymer species. Examples of the second polymer species include PEG and polyacrylamide (PAM). The first and second species can be at least partially cross-linked. Methods for forming the hydrogel coatings on the medical devices are provided including nucleophilic conjugate reactions, such as Click reactions.

The invention is directed to a catheter-like system which dwells temporarily or even continuously in the body of a patient and which serves for the closed delivery and/or discharge of odour-intensive substances, wherein the release of foul-smelling substances is reduced to the greatest possible extent by the system wall having a multi-layer structure that incorporates a proportion of barrier materials, and an odour-neutral decompression of gaseous fractions arising in the body and discharged into the system is ensured. The system comprises in particular a structure like a tubular film, by which an internal space to be reached in the body is connected to a container, arranged outside the body, for receiving the respective substances that are to be delivered and/or discharged. At the end positioned inside the body, the tube structure is provided with a retaining and/or sealing balloon element, which secures the system in the body. All of the film-based constituent parts of the system that are arranged outside the body, including the film-like delivering and/or discharging tube structure and the container preferably configured in the form of a bag, incorporate at least one barrier-producing layer of ethylene vinyl alcohol copolymer (EVOH), polyvinylidene chloride (PVDC) and/or polyamide (PA), which is combined with at least one carrier layer made of a robust, mechanically loadable, preferably elastic material, for example polyurethane (PUR). The system moreover ensures a continuous decompression of gaseous constituents from the internal space of the system, by a degassing device which is arranged in a particular manner relative to the delivering and/or discharging lumen and by which the adsorbing or filtering, degassing unit is protected against direct exposure to the substances that are to be delivered and/or discharged.

The invention is directed to a catheter-like system which dwells temporarily or even continuously in the body of a patient and which serves for the closed delivery and/or discharge of odour-intensive substances, wherein the release of foul-smelling substances is reduced to the greatest possible extent by the system wall having a multi-layer structure that incorporates a proportion of barrier materials, and an odour-neutral decompression of gaseous fractions arising in the body and discharged into the system is ensured. The system comprises in particular a structure like a tubular film, by which an internal space to be reached in the body is connected to a container, arranged outside the body, for receiving the respective substances that are to be delivered and/or discharged. At the end positioned inside the body, the tube structure is provided with a retaining and/or sealing balloon element, which secures the system in the body. All of the film-based constituent parts of the system that are arranged outside the body, including the film-like delivering and/or discharging tube structure and the container preferably configured in the form of a bag, incorporate at least one barrier-producing layer of ethylene vinyl alcohol copolymer (EVOH), polyvinylidene chloride (PVDC) and/or polyamide (PA), which is combined with at least one carrier layer made of a robust, mechanically loadable, preferably elastic material, for example polyurethane (PUR). The system moreover ensures a continuous decompression of gaseous constituents from the internal space of the system, by a degassing device which is arranged in a particular manner relative to the delivering and/or discharging lumen and by which the adsorbing or filtering, degassing unit is protected against direct exposure to the substances that are to be delivered and/or discharged.

Medical articles formed from ionically bonding an ionic polymer and an active agent provide enhanced properties. The ionic polymer may be one or more of an anionic polymer, a cationic polymer, and a zwitterionic polymer. The device may also include a nonionic polymer. Medical articles herein have antimicrobial, anti-fouling, and/or antithrombotic characteristics.

Reinforcing sleeves for medical device lumens are disclosed. In some embodiments reinforcing sleeves may provide resistance to crushing, kinking, or other deformation of the lumen. Reinforcing sleeves within the scope of this disclosure may be displacable along an outer diameter of a reinforced lumen. Some reinforcing sleeves within the scope of this disclosure comprise metal alloys.

Reinforcing sleeves for medical device lumens are disclosed. In some embodiments reinforcing sleeves may provide resistance to crushing, kinking, or other deformation of the lumen. Reinforcing sleeves within the scope of this disclosure may be displacable along an outer diameter of a reinforced lumen. Some reinforcing sleeves within the scope of this disclosure comprise metal alloys.

Antimicrobial metal ion coatings. In particular, described herein are coatings including an anodic metal (e.g., silver and/or zinc and/or copper) that is co-deposited with a cathodic metal (e.g., palladium, platinum, gold, molybdenum, titanium, iridium, osmium, niobium or rhenium) on a substrate (including, but not limited to absorbable/resorbable substrates) so that the anodic metal is galvanically released as antimicrobial ions when the apparatus is exposed to a bodily fluid. The anodic metal may be at least about 25 percent by volume of the coating, resulting in a network of anodic metal with less than 20% of the anodic metal in the coating fully encapsulated by cathodic metal.