The invention relates to a mobile selection system for selecting medical accessories comprising a control system, a user interface and a treatment cart. The treatment cart comprises a plurality of storage devices each having at least two storage areas for a respective accessory type. The control system thereby implements a selection method having the following method steps. The treatment identifier of the treatment to be performed is determined in one method step via the user interface. In a further method step, a plurality of accessory set parameters which characterize a medical accessory set are determined on the basis of an accessory database and on the basis of the treatment identifier of the treatment to be performed. The treatment cart comprises a release mechanism, wherein the control system is designed to control the release mechanism so as to release those medical accessories for which at least one of the storage devices comprises storage area for their accessory types and which are characterized by the accessory set parameters on which the control is based.

A system to be used inside a dialysis unit for dilating obstructed blood vessel, comprises a catheter, a device, a remote-control box, supportive components and connection cables. A catheter comprises an elongated portion, a proximal end and a distal end, extended longitudinally. A distal end of a catheter has a convectively heating tip with a heat generating element and an inflatable balloon. A device has a radiofrequency current generator to supply and control a heating process of a heat generating element of a catheter tip. A remote-control box comprises a valve assembly, a heat activation switch and a balloon inflation switch to facilitate a treatment process.

The disclosure relates to a subcutaneously implanted port device for establishing access to the vascular system of a patient requiring multiple blood treatments over an extended period of time. The systems, devices and methods disclosed herein may reduce miscannulation, promote intra-session hemostasis, and decrease the incidence of bacteremia and sepsis among other improvements and advantages. The devices include a port with a tapered seat for receiving an access tube, the first tapered seat having a proximal portion, a distal portion, and a conical section extending between the proximal portion and the distal portion; and an interface surface configured to engage a blood vessel or a vascular access catheter. The proximal portion of the tapered seat is configured to receive the access tube therethrough, and the tapered seat creates a mismatch fit with a diameter of the access tube when in use for an increase in flow during treatment.

The disclosure provides a method for preventing infection and microbial ingress in medical device connections between tubing sets and medical devices. The tubing set includes a male connector with a distal tip and a recess at the distal tip configured to trap bacterial, and deliver and confine antimicrobial into solution within a cavity formed by the recess. The surface of the recess includes an antimicrobial composition. In certain implementations a male luer comprises a tapered sealing member further comprising a recess containing chlorhexidine acetate.

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 examples described herein, a system includes an elongate member configured to be introduced into vasculature of a patient. The elongate member includes a pressure sensor configured to generate a pressure signal indicative of pressure in the vasculature adjacent the needle. The system includes processing circuitry configured to receive the pressure signal from the pressure sensor, detect, based on the pressure signal, dislodgment of the elongate member from the vasculature, and generate an output in response to detecting the dislodgment of the elongate member from the vasculature.

Various implementations include an arteriovenous graft device. The device includes an outer conduit and an inner conduit. The outer conduit has a first outer conduit end and a second outer conduit end opposite the first outer conduit end. The first outer conduit end defines an outer conduit opening extending from the first outer conduit end to the second outer conduit end. The first outer conduit end is configured to be in fluid communication with an artery and the second outer conduit end is configured to be in fluid communication with a vein. The inner conduit defines an inner conduit opening. The inner conduit is sized to be disposed within the outer conduit opening. The inner conduit is movable between a collapsed position and an expandable position.

A system for preventing thrombosis in an implantable medical device includes an implantable medical device sized for implantation at least partially within a patient's body. The device includes an at least partially electrically conductive portion that is disposed within a patient's body upon implantation, an electrode coupled to the electrically conductive portion of the device; and a power source coupled to the electrode. The power source provides a negative electric charge to the at least partially electrically conductive portion for an indefinite period of time. The device may be configured to resist thrombosis, infection, and/or undesired tissue growth via the charged conductive portion once implanted. Exemplary embodiments of the implantable medical device include a hemodialysis vasculature graft, a dialysis catheter, a coronary artery, and a heart valve.

Provided herein are novel devices for the formation of arteriovenous fistulas, which may aid subjects in need of hemodialysis. The novel devices are provided in a non-surgical procedure, greatly decreasing the cost and increasing the convenience of placing an arteriovenous fistula. The devices are atraumatic, and consist of a sutureless anastomosis device and conduit. Methods and tools for placing the devices in vivo are disclosed, including a magnetic-assisted method.

A catheter is provided including a first lumen and a second lumen. A first member is disposed for relative movement within the first lumen and defines a cavity, A second member is disposed for relative movement within the second lumen. The cavity of the first member is configured for disposal of the second member. The catheter may include an elongated tubular body that includes the first lumen and the second lumen. The first member may have a distal portion that extends beyond the distal end of the body. The distal portion may include the cavity. The cavity may be defined by a member lumen. The first and second members may include tubular stylettes. The second member may include a guidewire.