Apparatus and methods for controlled arterial/venous access are provided. The apparatus and methods may include a lumen anastomosed to a bodily lumen. A lumen clamping means may utilize a clamp manipulator to effectively seal the tubing, and the manipulator may be operated by two fingers. A needle receptor may be utilized, and the receptor may utilize a compressible member to seal tightly against a needle inserted from outside the body, in order ensure secure placement into a channel. The channel may be in liquid communication with the tubing. The manipulator and the needle receptor may be palpable from outside the body.

Disclosed herein are vascular access systems and methods thereof. For example, a vascular access system includes a port configured for subdermal implantation and a single-use access device. The port can include a port hub and a catheter tube. The port hub can include an access funnel and a septum defining a pair of port-hub lumens. The catheter tube can include a septum defining a pair of catheter-tube lumens fluidly coupled to the pair of port-hub lumens. The access device can include a bifurcated hub and a pair of cannulas. The pair of cannulas defines a pair of cannula lumens coupled to a pair of access device-hub lumens of the bifurcated hub. The pair of cannulas can be configured to simultaneously insert into the access funnel and couple the pair of cannula lumens to the pair of catheter-tube lumens when the pair of cannulas is fully seated in the port hub.

In some examples, a catheter assembly includes a catheter including an elongated catheter body defining a lumen, a first cuff and a second cuff. The first cuff includes a first cuff body comprising a material configured to promote epidermal tissue growth around or within the first cuff and an adhesive configured to adhere the first cuff body to an outer surface of the elongated catheter body at a first cuff position selectable by a user. The second cuff includes a second cuff body comprising the material configured to promote epidermal tissue growth around or within the second cuff body and an adhesive configured to adhere the second cuff body to the outer surface of the elongated catheter body at a second cuff position selectable by the user. A distance between the first and second cuff positions is customizable by the user based on a patient.

A bone marrow access apparatus includes a bone penetrating member and a cap. The bone penetrating member includes a tubular insertion portion, and a head portion provided at a proximal end of the tubular insertion portion. A cross-sectional shape of the head portion is wider than a cross-sectional shape of the tubular insertion portion. A recess is provided in the head portion, and an internal channel is provided through the head portion and the tubular insertion portion. The cap accommodates the head portion of the bone penetrating member therein. The cap includes a lower wall which covers at least a part of a distal side of the head portion, and a projection which projects into the recess of the head portion.

Vacuum dressings with a guide tube are provided for implantable medical devices that inhibit infection associated with in-dwelling devices while encouraging healing of the incision around the device. The vacuum dressings mitigate pooling of fluids that harbor bacteria from between the outer diameter of an inserted implantable medical device and the inner diameter of a guide tube and also in the cylindrical gap, between the outer diameter of an inserted implantable medical device and the inner wall of the subcutaneous tunnel, which remains in fluid communication with skin microflora. Implantable medical devices may also illustratively include a variety of catheters, such as venous access, peritoneal dialysis, and other indwelling venous access catheters that require skin penetration; cannulas; Steinman pins; Kirschner wires; and cardiac assist device lines.

A system for delivering an agent including a plurality of particles to a target site. The system incudes a catheter having a first wall defining an inner lumen for delivery of the agent to the target site, and a second wall surrounding the first wall to define an outer lumen therebetween for delivery of a fluid to the target site. The catheter has a distal end terminating with a primary opening of the inner lumen and a secondary opening of the outer lumen. A hub associated with a proximal end of the catheter includes a first inlet for receiving a supply of the agent and a second inlet for receiving a supply of the fluid, wherein the first inlet is in fluid communication with the inner lumen, and the second inlet is in fluid communication with the outer lumen.

A system for delivering an agent including a plurality of particles to a target site. The system incudes a catheter having a first wall defining an inner lumen for delivery of the agent to the target site, and a second wall surrounding the first wall to define an outer lumen therebetween for delivery of a fluid to the target site. The catheter has a distal end terminating with a primary opening of the inner lumen and a secondary opening of the outer lumen. A hub associated with a proximal end of the catheter includes a first inlet for receiving a supply of the agent and a second inlet for receiving a supply of the fluid, wherein the first inlet is in fluid communication with the inner lumen, and the second inlet is in fluid communication with the outer lumen.

A skin-safe effluent containment system that may be used to contain fluid leakage from openings in the body of a patient and will adhere to skin in any condition: healthy or injured, wet or dry, smooth, scarred, or uneven. Fluid leakage can occur from natural orifices such as the anus and vagina, spontaneously formed enteric fistulas, rectovaginal fistulas, and surgical openings such as ileostomy and colostomy stomas. The system includes a vacuum-adherent pouch device, comprised of a pouch connected to a porous foam ring which has an air-permeable contact layer on its bottom surface and an air seal on its top surface. The inner and outer perimeters of the foam ring are enclosed and sealed with skin-adhesive materials. When placed on the patient, negative pressure (vacuum) is applied to the foam ring so that the foam collapses and compresses the vacuum-adherent pouch device down against the patient's skin. Negative pressure in combination with the adhesive materials on the perimeters of the foam ring forms a fluid barrier around the opening in the body of the patient so that leakage can be directed into the pouch and drawn away to a separate effluent container.

A medical elongated body that is capable of improving convenience during use by a surgeon, and capable of preventing peeling, from a catheter main body, of a drug portion (a hydrophilic coating) containing metal ions and a drug when disposed on a wound site of a patient. An introducer sheath includes a tubular sheath configured to be percutaneously inserted into a blood vessel, and a hub connected to a proximal portion of the tubular sheath, in which the tubular sheath includes a first region and a second region located on a proximal side relative to the first region, the first region has a first hydrophilic coating having lubricity, the second region includes a groove portion extending from a distal side of the tubular sheath toward a proximal side of the tubular sheath, the groove portion having a second hydrophilic coating containing at least one of metal ions and a drug.

A vascular access device may include a housing, which may include a distal end, a proximal end, and a lumen extending through the distal end of the housing and the proximal end of the housing. The distal end of the housing may include a connector configured to couple to a catheter assembly. The vascular access device may include a bag, which may be coupled to the proximal end of the housing. The vascular access device may include an instrument and a pincher disposed within the bag. The pincher may be configured to pinch the instrument to move the instrument distally through the lumen of the housing and into the catheter assembly.