Abstract: Disclosed embodiments include apparatuses, systems, and methods for providing an atraumatic sheath tip. Various disclosed embodiments seek to help reduce or avoid unnecessary tissue damage upon a sheath being extended to convey an elongated instrument for sampling or treatment. In an illustrative embodiment, an apparatus includes a deformable sheath tip configured to be positioned at a distal end of a sheath. The sheath defines therein a lumen configured to convey an elongated instrument. The sheath tip has a base end disposable at the distal end of the sheath and a contact end. The sheath tip has a first column strength along an axis of the sheath tip that is less than a second column strength of the sheath and a first degree of deformability that is greater than a second degree of deformability of the sheath.

Abstract: A device having a sheath, a medical device, a stylet, a handle and a plunger device. The handle includes portions connected proximal ends of the sheath, the medical device and the stylet and a chamber portion connected to the actuator. The chamber portion includes a volume of space configured to volumetrically connect to at a lumen of the medical device, the sheath or the stylet and a plunger device configured to be slidably received within the chamber portion. The plunger device is able to pneumatically isolate a proximal portion of the volume of space from a distal portion of the volume of space. Proximal movement of the stylet and the plunger device cause a suction effect (i.e., reduced pressure) at the distal end of the sheath, the medical device and/or the stylet.

Abstract: A device having a sheath, a medical device, a stylet, a handle having a chamber portion and a plunger device. The handle connects to proximal ends of the sheath, the medical device, and the stylet. The chamber portion includes a volume of space configured to volumetrically connect to at a lumen of the medical device, the sheath or the stylet. The plunger device slides and moves within the chamber portion. The plunger device is able to pneumatically or hydraulically isolate a proximal portion of the volume of space from a distal portion of the volume of space. Proximal movement of the stylet and the plunger device cause a suction effect (i.e., negative or reduced pressure) at the distal end of the sheath and/or the medical device.

Abstract: A device having a sheath, a medical device, a stylet, a handle having a chamber portion and a plunger device. The handle connects to proximal ends of the sheath, the medical device, and the stylet. The chamber portion includes a volume of space configured to volumetrically connect to at a lumen of the medical device, the sheath or the stylet. The plunger device slides and moves within the chamber portion. The plunger device is able to pneumatically or hydraulically isolate a proximal portion of the volume of space from a distal portion of the volume of space. Proximal movement of the stylet and the plunger device cause a suction effect (i.e., negative or reduced pressure) at the distal end of the sheath and/or the medical device.

Abstract: Disclosed embodiments include apparatuses, systems, and methods for providing an atraumatic sheath tip. Various disclosed embodiments seek to help reduce or avoid unnecessary tissue damage upon a sheath being extended to convey an elongated instrument for sampling or treatment. In an illustrative embodiment, an apparatus includes a deformable sheath tip configured to be positioned at a distal end of a sheath. The sheath defines therein a lumen configured to convey an elongated instrument. The sheath tip has a base end disposable at the distal end of the sheath and a contact end. The sheath tip has a first column strength along an axis of the sheath tip that is less than a second column strength of the sheath and a first degree of deformability that is greater than a second degree of deformability of the sheath.

Abstract: A fistula creation system for quickly creating a fistula between a first biological tissue and a second biological tissue of a body. The system includes a tissue fastening tool for applying pressure to a periphery around an area of a first biological tissue and a second biological tissue of a body, a power source and a fistula creating device. The fistula creating device includes one or more electrodes located at the distal end of a catheter and are in electrical communication with the power source. The electrodes cut the first and second biological tissue within the area when charged by the power source. The fistula creating device includes a balloon with an electrode for expanding the size of the fistula.