Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: According to one claim of the invention, a method for occluding a fallopian tube in a vertebrate subject is described, which comprises comprising transcervically delivering a solid blocking material into the fallopian tube. In various embodiments, a fluid sealing material is delivered along with the solid blocking material. Other claims of the invention pertain to articles of manufacture, delivery devices and kits for use in occluding the fallopian tubes of a vertebrate subject.

Abstract: A delivery device including a roller rotatably mounted on an axle, a reservoir, and at least one hollow needle positioned in the roller are in fluid communication with the reservoir, wherein as the roller rotates about the axle, contents of the reservoir pass through the at least one hollow needle.

Abstract: Catheter assembly (100) having at least one lumen (150 or 160) and joined to hub (106). While the lumen inner diameter(s) remain constant from distal end (144) of the catheter (140) to proximal end (142), the outer catheter diameter increases proximate the hub (106) providing increased resistance to kinking during connection and disconnection from medical apparatus. The increased proximal catheter diameter preferably is sufficiently large to plug the proximal end of an introducer sheath through which the catheter is inserted during patient placement, to plug the proximal sheath end and minimize blood aspiration therethrough, and later serves to fill the vascular insertion upon complete catheter insertion after removal of the introducer sheath again to minimize blood aspiration through the vascular incision. The catheter may have two lumens (150,160) or more, joined to respective extension tubes in hub (106). The two lumens may each have a respective inner diameter of between about 0.020 in and 0.025 in.

Abstract: Described herein are cannulas having a stepped exterior. Also described are methods of making and using these cannulas, for example to deliver one or more materials to the central nervous system of an animal.

Abstract: A body portion of the apparatus comprises an interior cavity and a plurality of fluid lumens extending from the cavity to a periphery of the body portion. The apparatus further comprises a first fluid port in fluid communication with a first one of the fluid lumens. The first fluid port is configured to receive a syringe for injecting a liquid diluent and withdrawing a reconstituted liquid medicament. The apparatus further comprises a second fluid port in fluid communication with a second one of the fluid lumens. The second fluid port is configured to receive a medicament vial. The apparatus further comprises a third fluid port at an end of a third one of the fluid lumens for expelling the reconstituted liquid medicament. The apparatus further comprises a stopcock received within the body portion interior cavity and configured to regulate fluid communication between the fluid lumens.

Abstract: The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. In one embodiment, a seal assembly is provided and can include a seal having an opening configured to receive a surgical instrument therethrough and a fluid remover in the form of an absorbent element, a scraper element, a wicking element, or any combination thereof can be associated with the seal and configured to remove fluid from the opening and/or a surgical instrument.

Abstract: An introducer sheath includes a tubular body portion having a proximal region and a distal region, and defines an internal lumen configured and dimensioned to slidably receive a catheter. A penetrating portion at a distal end of the tubular body has a first tapered configuration to enlarge an opening in a body tissue during distal advancement of the introducer sheath through the body tissue and a second expanded configuration to enable the passage of a distal end portion of a catheter through the penetrating portion.

Abstract: A catheter for introduction and removal of fluids from a body and tunneling device therefor, the catheter has a body having a first conduit for removing fluid from the body and a second conduit for delivering fluid to the body wherein at least a part of each of the conduits is integrally formed within a first end of the body of the catheter and extends along side one another. The first conduit extends beyond the second conduit and forms a terminal point of the first end and defines a first opening thereat and the second conduit extends to a point short of the terminal point defining a second opening. A bumper portion is adjacent the second opening extending toward the terminal point. Another part of each the first and the second conduits are disjoined and form part of a second Y-shaped end. The tunneling device has a channel to removably receive the catheter.

Abstract: A medical device for placement of regional anesthesia catheters. The device comprises a hollow shaft needle, a plunger attached to the posterior end of the needle, a housing dimensioned so that plunger can slide inside the housing with friction, a regional anesthesia catheter preloaded inside the needle, a protective cover sheath covering the catheter, and a catheter adaptor attached to posterior end of the sheath and the catheter. The medical device allows a practitioner to quickly and effectively place a regional anesthesia catheter inside an organism without the use of an assistant, and with minimal risk of contaminating the catheter before it enters the organism's body. At the end, the needle is withdrawn inside the housing and disposed.

Abstract: A long catheter can be inserted into a patient while eliminating the need for a sterile field by incorporating the long catheter into an infusion tubing and carrying it in with the infusion. The long catheter has a structure that prevents it from leaving the infusion tubing when fully extended and therefore becomes a connector for fluids to transfer down the long catheter by infusion through the infusion tubing. Use of an adjustable seat connector allows the long catheter to be stopped at varying points during insertion and even to allow the long catheter to be reversed by pulling suction on the infusion tubing and retracting the long catheter back into the infusion tubing. The long catheter also remains within the sterile confines of the infusion tubing and therefore is prevented from becoming contaminated.

Abstract: A catheter with a balloon anchor may be sized to fit through an inner needle and introduced into the patient through the needle. The inner needle may comprise an atraumatic needle with a side port and/or a blunt tip. The catheter may include a radiopaque coil disposed over the distal portion of the catheter body to assist with catheter placement when viewed with fluoroscopy and/or x-ray. The distal portion of the catheter can be very flexible. A balloon inflation tube may terminate proximal to a proximal end of the expandable balloon anchor such that the distal portion of catheter can be flexible. This termination of the inflation tube may also position the inflation tube away from the annulus and nerve roots, so as to avoid irritation of the annulus and rubbing of the nerve roots that may potentially obscure FAD test results.

Abstract: A novel neural injection system and related methods are herein disclosed. Various embodiments of an embodiment of a neural injection system of the present invention provide for at least one benefit of enhanced injection characteristics, increased operational efficiency, reduced cost per unit, reduced incidence of injury through intraneural/intravascular injection, reduced incidence of injury through pricking/piercing, and/or the like.

Abstract: A medical system comprises a first medical probe having indicia, and a second medical probe in a coaxial arrangement with the first medical probe. The second medical probe has a detector (e.g., an optical detector) configured for detecting a passage of the indicia as the first and second medical probes are moved relative to each other. In one embodiment, the first medical probe is an inner medical probe, and the second medical probe is an outer medical probe. The medical system further comprises an electromechanical driver coupled to the first and second medical probes, and a controller configured for directing the electromechanical driver to move the first and second medical probes relative to each other, and for receiving signals from the detector indicating the relative movement between the first and second medical probes.

Abstract: An introducer apparatus includes an outer sleeve and an inner cannula received within the lumen of the outer sleeve. The outer sleeve has a profile such that at least a portion of the distal end of the outer sleeve tapers in the distal direction at an angle not exceeding about 2° relative to a longitudinal axis of the apparatus. The distal open end of the outer sleeve has a wall thickness not exceeding about 0.003 inch, and is sized such that a first wire guide is receivable therethrough. The inner cannula includes a tapered distal end portion. The inner cannula distal open end is sized such that a second wire guide is receivable therethrough, and the first wire guide is not receivable therethrough. The tapered distal portion of the inner cannula extends distal to the distal open end of the outer sleeve, such that a generally smooth diametrical transition is provided between the outer sleeve tapered portion and the open distal end of the inner cannula.

Abstract: Drainage belongs to medical equipment, particularly to medical tools and is specified for drainage of cavities. Drainage comprises a first tube, an additional tube, which is fixed upon it, a unit of the clot's splitter and the splitter's fixing element. The additional tube has a smaller diameter with an opening, inside which the conductor is mounted, a unit of clots splitter is installed on the working end of the drainage, it comprises a cylinder, a tube with an opening, placed on it, which is the continuation of the additional tube of the drainage and a spring with a cutter inside the cylinder. A cutter is located diametrically inside the working head, while in the end of the wall of the first tube and the splitter's unit comprises a channel, inside which splitter's fixing element was led, its working end is inside the unit's cylinder and fixes the splitter.

Abstract: The needle assembly of the invention is a quad-partite system for use with an arc-center stereotactic headframe that allows a clinician to deliver recombinant expression vectors through the needle assembly to targeted sites at exact depths in the brain. Methods for use of the needle assembly with a rube insert for the needle cannula that does not bind proteins, as in protein viral capsids, permit delivery of precise volumes of pharmaceutical compositions containing viral recombinant expression vectors for gene therapy.

Abstract: Device and method are provided for diagnosing and treating diseases and injuries to the spine by injecting drugs into the diseased or injured area. The device and method of the subject invention provide improvements to patient and operator safety, along with ease-of-use and convenience improvements over conventional techniques.

Abstract: A guide device (1) for introducing at least a surgical instrument internally of an organic cavity (2), in particular a vascular cavity comprises a guide body or guide catheter (3) which is substantially hollow and flexible and exhibits an open directing end (8) which is transversal. The device comprises an elongate and flexible guide element (9), which is slidable internally of the guide body (3) to define an advancing guide for the guide body (3). The device (1) also includes means for stabilising (10) for easily piloting the directing end (8) with respect to the transversal cavity (2b) and for advancing the guide catheter. The means for stabilising are defined by a stabilising opening (11) and by an elongate and flexible stabilising element (12) which internally engages the guide body (3) and exits therefrom through the stabilising opening (11) along the cavity occupied by the guide body (3).

Abstract: A sheath shaped and dimensioned for reducing trauma and easing insertion thereof includes an inner sheath member shaped and dimensioned to fit around a guidewire in a manner permitting relative movement, the inner sheath member including an inner sheath tip having a primary bevel and a circumferential conical surface. The sheath also includes an outer sheath member shaped and dimensioned to fit around the inner sheath member in a manner permitting relative movement. The outer sheath member includes an outer sheath tip having a primary bevel and a circumferential conical surface.

Abstract: A sheath shaped and dimensioned for reducing trauma and easing insertion thereof includes an inner sheath member, the inner sheath member including an inner sheath tip having a primary bevel and a circumferential conical surface. The sheath also includes an outer sheath member shaped and dimensioned to fit around the inner sheath member in a manner permitting relative movement. The outer sheath member includes an outer sheath tip having a primary bevel and a circumferential conical surface.

Abstract: An introduction device for introducing an object into a vessel of a body comprises a tubular channel (15) and a dilator (11) carrying the channel. To keep the diameter of the body canal as small as possible, the wall thickness of the channel (15) is max. 0.06 mm. The channel (15) is made of a hard plastic material, such as polyamide or polyester, such that the channel (15) is not deformed by compression when the device is advanced in the body and the dilator (11) is retracted. Further, a tight fit on the dilator also prevents such compressions.

Abstract: A device for facilitating the use or application of skin penetrators, the device including a puncturing part for piercing the skin, an indwelling part which can be introduced into the skin through an opening generated by the puncturing part and remains there, wherein the puncturing part and indwelling part are operably associated with the device, and a guide operably associated with the device, wherein, in use, the indwelling part is moved, via the guide, into a position of use after the puncturing part has pierced the skin. In some embodiments, the puncturing and indwelling parts are separate from each other prior to use. A method of using skin penetrators is encompassed and includes sequentially introducing the puncturing part and the indwelling part into the skin.

Abstract: A medical device comprises an indwelling needle assembly comprising an inner needle having a sharp needle tip at the end thereof and a hollow outer needle into which the inner needle is inserted and a suction device by which blood is sucked through the indwelling needle assembly in an indwelling state where the indwelling needle assembly is pierced into a living body and indwells there, wherein the suction device includes a suction power-controlling system which controls the suction power. Between the outer peripheral face of the inner needle and the inner peripheral face of the outer needle of this medical device, a space communicating with the suction device is formed along the longitudinal direction of the indwelling needle assembly and blood flows into this space. In this space, the suction power controlled by the suction power-controlling system is set lower by 5 mmHg or more than the atmospheric pressure.

Abstract: A safety IV catheter includes a unitary, resilient needle guard received in a catheter hub. The needle guard includes a proximal arm or wall that includes an opening through which a needle passes for axial movement. When the needle is retracted from the catheter, it releases the force that had previously prevented movement of the needle guard within the catheter hub. This in turn causes the needle guard to snap into a position in which it is clamped onto the needle shaft and in which its distal wall blocks access to the needle tip. In this condition, the spring needle guard and needle can be removed from the catheter hub. A slot or crimp may be formed in the needle shaft that engages with the needle guard after the protected needle and needle guard are removed from the catheter hub, thereby to prevent removal of the protected needle from the needle guard.

Abstract: An insertion device with an insertion axis includes an axial actuator with a first portion and a second portion. The first portion is moveable along the insertion axis relative to the second portion. The insertion device further includes a first tube coupled to the first portion of the axial actuator, and the first tube is movable along the insertion axis in response to movement of the first portion relative to the second portion. The device further includes a second tube having a radially biased distal end. The distal end is substantially contained within the first tube in a first state, and the second tube is rotatable with respect to the first tube. Also, the second tube is axially movable to a second state, and a portion of a distal end of the second tube is exposed from a distal end of the first tube in the second state.

Abstract: A method and apparatus for cannulating vessels and cavities are provided. Such an apparatus includes a y-adaptor having a front leg configured to hold a needle, a guide-wire leg configured to receive a guide-wire, and a syringe leg configured to hold a syringe for aspiration. Once the needle is inserted into the desired vessel or cavity, the syringe may be aspirated to determine if the insertion was successful. Then, a guide-wire may be pushed into the guide-wire leg and into the needle via the front leg of the apparatus. Once the guide-wire has reached the targeted vessel or cavity, a catheter or cannula may be positioned over the guide wire and advanced to the desired location.

Abstract: The device according to the invention for providing a percutaneous endoscopic gastrostomy (PEG) comprises a handle for handling the device. The wire that is to be inserted into the stomach of the patient is rolled on a wire spool that is mounted either in a rotatable manner on the handle part or on an attachment piece that can be attached to the handle. Aside from the puncturing cannula for puncturing the stomach, the device according to the invention comprises an insertion cannula for insertion the wire rolled on the wire spool into the stomach. The device according to the invention is characterized in that the puncturing cannula is designed as an outer cannula surrounding the insertion cannula, while the insertion cannula is designed as an inner cannula surrounded by the puncturing cannula, wherein the insertion cannula is guided into the puncturing cannula in a longitudinally displaceable manner. During the puncture of the stomach, the insertion cannula is recessed into the puncturing cannula.

Abstract: A system and/or apparatus for delivering a medical device into a body includes an elongate tubular member and a valve fitted within a proximal end thereof. The valve preferably includes a tubular body and a flap, wherein the tubular body is engaged within the proximal end of the tubular member and has an open end approximately aligned with a proximal termination of the proximal end of the tubular member. The flap of the valve preferably extends over a hole formed in an end wall of the tubular body opposite a side of the end wall that faces a passage of the tubular body, which passage extends between the open end and the end wall. The hole communicates with the passage and with the lumen of the tubular member, and the flap is movable away from the hole when the device is introduced through the passage and the hole.

Abstract: A method and apparatus for administering liquid anesthetics around peripheral nerves, in order to perform surgery or to relieve post operative pain. The apparatus containing a regional anesthetic needle with an overlying catheter. The needle is hollow and has a blunt end so that it does not penetrate or damage a nerve or blood vessel. A stiff catheter covers the needle up to a side hole in the needle that allows liquid anesthetic to be injected through the needle in a forward direction. The needle can be removed leaving catheter in place without disturbing the location of the catheter.

Abstract: An infusion assembly comprises a cannula subassembly and a source subassembly. The cannula subassembly includes a substantially planar base, a cannula projecting from the base so as to be beneath the patient's skin when the subassembly is deployed, and a generally cylindrical docking structure having a center axis substantially perpendicular to the base. A liquid medicament is dispensed from the cannula. The source subassembly is arranged to dock with the docking structure and includes a supply of liquid medicament that couples to the cannula upon the source subassembly docking with the cannula subassembly. The source subassembly also includes a primer that automatically primes the insulin fluid path to the cannula tip when the subassemblies are joined.

Abstract: A device for inserting a cannula into tissue, including a cannula, a protective element which can accommodate said cannula, an operating element for moving the cannula out of the protective element, and a holder fixedly connected to the cannula. The invention encompasses a system for connecting a liquid supply to the cannula.

Abstract: The needle assembly of the invention is a quad-partite system for use with an arc-center stereotactic headframe that allows a clinician to deliver recombinant expression vectors through the needle assembly to targeted sites at exact depths in the brain. Methods for use of the needle assembly with a rube insert for the needle cannula that does not bind proteins, as in protein viral capsids, permit delivery of precise volumes of pharmaceutical compositions containing viral recombinant expression vectors for gene therapy.

Abstract: Catheter assembly (100) having at least one lumen (150 or 160) and joined to hub (106). While the lumen inner diameter(s) remain constant from distal end (144) of the catheter (140) to proximal end (142), the outer catheter diameter increases proximate the hub (106) providing increased resistance to kinking during connection and disconnection from medical apparatus. The increased proximal catheter diameter preferably is sufficiently large to plug the proximal end of an introducer sheath through which the catheter is inserted during patient placement, to plug the proximal sheath end and minimize blood aspiration therethrough, and later serves to fill the vascular insertion upon complete catheter insertion after removal of the introducer sheath again to minimize blood aspiration through the vascular incision. The catheter may have two lumens (150,160) or more, joined to respective extension tubes in hub (106). The two lumens may each have a respective inner diameter of between about 0.020 in and 0.025 in.

Abstract: The present disclosure describes a surgical access apparatus including an access member with a longitudinal opening defining an internal dimension suitable for removable receipt of a surgical instrument. The access member has a thread mounted thereon that is movable between a first condition and a second condition. When the thread is in the first condition, the access member defines a first outer dimension that allows for positioning of the access member within a tissue tract, and when the thread is in the second condition, the access member defines a second, larger outer dimension to facilitate anchoring of the access member within the tissue tract. As the thread moves between the first and second conditions, the internal dimension of the longitudinal opening extending through the access member remains substantially constant.

Abstract: An external stylette needle device for use in medical/surgical procedures to reduce the introduction of air into a patient and method of use comprising a stylette sizably fit over at least a portion of the exterior surface of a hollow core needle shaft such that the stylette can slide about the needle shaft. The needle having a proximal end including a hub and a distal end including a tip and a distal orifice, the needle further comprising a proximal orifice adjacent the hub. The stylette being further adapted to alternately and reversibly close or open the needle distal orifice and the needle proximal orifice. The device may include an electromagnetic charge to ensure that the stylette remains in contact with the external surface of the needle.

Abstract: A cannula insertion device includes a housing defining an opening for receiving therethrough a cannula and further defining a channel, and a cannula forming a lumen, the cannula adapted for sliding movement within the housing from a retracted position to an extended position. When the cannula is in the retracted position, the lumen is located remotely from the channel and the channel is in fluidic communication with the opening. When the cannula is in the extended position, the lumen is in fluidic communication with the channel.

Abstract: A bendable veress needle is disclosed that has a shaft with a bendable region located near its distal end. The distal end of the bendable region includes a tissue penetrating tip. A stylet may be inserted through the bendable veress needle. A housing having an insufflation port is located at a proximal end of the bendable veress needle. A light source or imaging system may be coupled to the bendable veress needle.

Abstract: The present invention relates to medical needles used in connection with guide wires. A needle of the present invention includes a substantially cylindrical tube formed along a central longitudinal axis. A tapered tube is connected to one end of the tube and has a sharpened end. A channel extends through the cylindrical tube and the tapered tube, and is aligned with the longitudinal axis. In some embodiments, the tapered portion is radially expandable. For instance, radial expansion may result when a guide wire is selectively inserted through the channel. The radial expansion may be facilitated by a relief on the tapered tube portion. Optionally, the relief includes a plurality of slots which expand as a guide wire is inserted through the channel and tapered portion, thereby also causing the internal and outer diameters of the tapered portion to expand.

Abstract: Assemblies and methods related to controllably lockable support structures are described. An assembly may comprise an interface defined by two adjacent tubular structures whereby the adjacent structures may be spatially locked and unlocked relative to each other with application of a load. The tubular structures may comprise one or more spring members configured to deflect with application of a load greater than a preconfigured threshold, thereby causing a locking state of the interface to change from a first locking state to a second locking state. Embodiments are described wherein such load may be a tensile and/or compressive load. Various embodiments are described wherein an interface may be locked without application of a load and unlocked upon application of the requisite load, or locked only after application of a load.

Abstract: Devices, systems, and methods for accessing tissue in a minimally invasive manner and taking a biopsy tissue sample therefrom are disclosed. At least some of the embodiments disclosed herein enable a tissue sample to be taken from the external surface of the heart in a non-invasive manner. In addition, various disclosed embodiments provide devices, systems and methods for accessing the pericardial space through the interior of the heart and engaging the epicardial surface and removing a tissue sample therefrom for diagnostic purposes through the use of suction.

Abstract: A medical device for placement of regional anesthesia catheters. The device comprises a hollow shaft needle, a plunger attached to the posterior end of the needle, a housing dimensioned so that plunger can slide inside the housing with friction, a regional anesthesia catheter preloaded inside the needle, a protective cover sheath covering the catheter, and a catheter adaptor attached to posterior end of the sheath and the catheter. The medical device allows a practitioner to quickly and effectively place a regional anesthesia catheter inside an organism without the use of an assistant, and with minimal risk of contaminating the catheter before it enters the organism's body. At the end, the needle is withdrawn inside the housing and disposed.

Abstract: A hemostatic valve apparatus used in medical procedures that provides rapid activation of a sealing mechanism resulting in lower blood loss during use of the sealing device. The valve apparatus incorporates an actuator and two mechanisms that counter-rotate opposite ends of a sealing tube.

Abstract: The invention described herein relates to an improved device for paracentesis procedures, such as thoracentesis. The device comprises a cannula assembly, valve assembly, and catheter assembly, wherein the cannula assembly is removably attached to the valve assembly, and the valve assembly is removably attached to the catheter assembly. The device can comprise an externally viewable indicator revealing the relative positions of the cannula assembly components. The device can further comprise a locking mechanism which controls the movement between cannula assembly components and is activated and deactivated by the coupling of the cannula assembly to the valve assembly. The device improves the precision and safety of its handling, and offers the practitioner several aspiration alternatives while maintaining separation of the internal and external patient environments.

Abstract: An infusion device including a site and a set for delivery of a substance to a patient. The site can include a cannula that is introduced into a subcutaneous layer of skin of the patient. The set can be coupled to the site by placing the set over the site and moving the set from an unlocked to a locked position. The set can be oriented at multiple rotational orientations with respect to the site, and can be coupled and uncoupled with the site multiple times. Also included is a device for inserting a subcutaneous infusion device into a subcutaneous layer of skin of a patient. Some devices automatically retract a needle used to introduce the cannula. Upon full introduction of the needle and associated cannula of the subcutaneous infusion device into a subcutaneous layer of skin of a patient, the device can move the needle into a retracted state.

Abstract: A catheter-based deployment system for deploying cellular material (22) into the heart muscle (25). The deployment system includes a guiding catheter (19) and a needle assembly (31) capable of sliding within the guiding catheter. The needle assembly (31) terminates in a tip (34) having at least one side with an opening (43) in communication with a lumen (20) disposed within the needle assembly (31). Once the guiding catheter (19) is positioned, the needle assembly (31) is advanced until the tip (34) penetrates the muscle wall (25). At a predetermined depth the cellular material (22) may be deployed into the muscle wall (25) via a push rod (46) disposed through the lumen of the needle assembly (31).

Abstract: An introducer sheath and methods of making the introducer sheath are described. The introducer sheath may include a hub portion and a tubular portion. The hub portion may include a substantially non-planar valve portion in a relaxed state. The valve portion may include an aperture configured to receive a medical device. A hub portion may be formed using a forming device. An aperture may be formed through a distal surface of the valve portion. A valve portion may be formed in a cap defining a cavity sized to elastically receive a proximal end of the hub portion.

Abstract: Disclosed is an apparatus for deploying a bronchial isolation device in a bronchial passageway in a lung of a patient. In one embodiment, the apparatus includes an outer shaft having a distal end. A housing is coupled to the distal end of the outer shaft and configured to receive the bronchial device. An inner shaft is slidably disposed within the outer shaft. A handle is adapted to move the outer shaft relative to both the inner shaft and the handle while the inner shaft remains fixed relative to the handle so as to eject the bronchial isolation device from the housing.

Abstract: An introducer guide 15 for introducing medical items into an internal tissue of a patient is provided. The guide 15 includes a cannula 20 defining a lumen sized to receive the item and a lateral opening 24. A ramp is disposed within the lumen adjacent and inclined toward the lateral opening 24. A hub 40? is attached to the second end 22 of the cannula 20. The hub 40? includes a gripping portion 41? configured to be held when inserting and positioning the introducer 15. The gripping portion 41? has a length lgp sufficient for gripping and a tactile indicator 44 disposed along substantially the entire length lgp of the gripping portion 41 on the hub 40?. The indicator 44 has a fixed angular relationship with the lateral opening 24. The invention also includes methods for obtaining a biopsy sample and methods for treating lesions.