Abstract: A luminal access system comprises an evertable, lubricious sleeve, a pusher tube, and optionally a lumen tube. The evertable, lubricious sleeve is attached to a non-evertable sheath which is coaxially received over the pusher tube. A distal portion of the evertable sleeve folds or everts into an axial passage of the pusher tube where it is connected to a lumen tube. A distal portion of the pusher tube may be bendable, typically comprising a relatively soft polymer which is circumferentially reinforced to enhance hoop strength.

Abstract: A protective sheath for endoscopes and other elongate medical devices comprises a sheath, a tissue anchor, and a stiffening element or guide. The stiffening element is used to advance the protective sheath through a working channel or other central passage of the endoscope, while the tissue anchor immobilizes a free end of the sheath at a body orifice as the endoscope is introduced. In this way, the protective sheath will drawn from the working channel, evert over a distal end of the endoscope, and remain stationary over the device relative to the body lumen as the endoscope is advanced.

Abstract: A luminal access system comprises an evertable, lubricious sleeve, a pusher tube, and optionally a lumen tube. The evertable, lubricious sleeve is attached to a non-evertable sheath which is coaxially received over the pusher tube. A distal portion of the evertable sleeve folds or everts into an axial passage of the pusher tube where it is connected to a lumen tube. A distal portion of the pusher tube may be bendable, typically comprising a relatively soft polymer which is circumferentially reinforced to enhance hoop strength.

Abstract: There is disclosed a skin seal and anchoring cannula for use in surgery. The skin seal generally includes a distally extending flexible or compressable member and a latch assembly to secure the skin seal about a shaft of the cannula. Preferably the latch assembly is of an over the center clamp or lock design. The disclosed cannula is preferably a balloon tip cannula having an inflation port and a lumen communicating within the interior of the balloon so as to inflate the balloon. There is also a method of securing a cannula to tissue, preferably an abdominal wall, utilizing the disclosed balloon tip cannula and skin seal.