Abstract: A vascular access system may include a catheter adapter and an extension set. The extension set may include a first end having a first connector coupled to the catheter adapter, a second end having a second connector, an extension tube disposed between the first end and the second end, and a brace configured to hold the extension tube in a curved position. The extension set may alternatively include a housing disposed between the first connector and the extension tube, where the housing is U-shaped or V-shaped and a fluid pathway extends through the housing.

Abstract: Devices, systems, and methods for performing intraocular surgery. In one example, the device includes a handpiece including proximal and distal ends; a diathermy needle extending from the distal end and terminating in a diathermy tip; and a tubular shaft extending from the distal end adjacent the diathermy needle and terminating in an aspiration tip, the tubular shaft including an aspiration lumen extending proximally from an aspiration opening in the aspiration tip. An actuator on the handpiece is coupled to the shaft for directing the shaft between a distal position where the aspiration tip is adjacent the diathermy tip and a proximal position where the aspiration tip is offset proximally from the diathermy tip. A generator may be connected to the handpiece for delivering energy to the tip for performing diathermy and a vacuum source may be connected to the handpiece for delivering suction to the aspiration opening.

Abstract: A trocar assembly that includes a trocar and a seal cartridge configured to be releasably coupled to the trocar. The seal cartridge includes a top cap that includes a main body and a latch ring. The latch ring is grounded to the main body at a first angular position and has a latch located at a second angular position angularly offset from the first angular position. Applying a radial load on the latch causes the latch ring to flex in torsion at an intermediate portion that angularly interposes the first and second angular positions.

Abstract: A trocar assembly can include a cannula, a seal cartridge, and an obturator. The seal cartridge is configured to be releasably coupled to the cannula and to be disposed at least partially within the cannula in a coupled configuration of the seal cartridge. The obturator is configured to directly latch to the cannula and to extends through the cannula and the seal cartridge in a coupled configuration of the obturator.

Abstract: A surgical access device includes a cannula, an instrument housing coupled to the cannula, a port coupled to the instrument housing, and a valve disposed within the port. The cannula includes an elongated shaft defining an access lumen and an inflation lumen therethrough. The port includes an inflation channel and an insufflation channel defined therethrough. The inflation channel is in fluid communication with the inflation lumen of the cannula and the insufflation channel is in fluid communication with the access lumen of the cannula. The valve is movable within the port between an inflation position in which a passageway defined through the valve is aligned with the inflation channel of the port, and an insufflation position in which the passageway of the valve is aligned with the insufflation channel of the port.

Abstract: Access assemblies include an instrument valve housing and a valve assembly disposed within the instrument valve housing. The valve assembly includes a guard assembly, and a seal assembly disposed adjacent the guard assembly. The seal assembly includes a plurality of seal segments defining a substantially hexagonal body. Each seal segment of the plurality of seal segments includes a base portion and a seal portion extending from the base portion. Each base portion including an outer edge formed of three segments. Each seal segment of the plurality of seal segments is disposed relative to an adjacent seal segment of the plurality of seal segments such that two of the three segments of the outer edge of the respective seal segments align with each other. The valve assembly also includes a centering mechanism for biasing the seal assembly and guard assembly towards a center of the cavity of the instrument valve.

Abstract: A cannula assembly for use in robotic surgery is disclosed that includes a robotic cannula having a housing with an open end and a tubular portion extending distally from the housing, the tubular portion being dimensioned to accommodate passage of a surgical instrument having a 12 mm diameter, an adapter assembly configured for engagement within the open end of the cannula housing and including a tubular body with a passage supporting a primary seal dimensioned to accommodate passage of a surgical instrument having a 12 mm diameter, and an insert tube dimensioned to extend through the passage of the body portion of the adapter assembly and the tubular portion of the robotic cannula, the insert tube including a head portion with a passage supporting a secondary seal dimensioned to accommodate a surgical instrument having an 8 mm diameter.

Abstract: Disclosed herein are surgical instruments used in ophthalmic surgical procedures and associated methods. Particular embodiments relate to a cannula assembly having a cannula tip that is retractable. The cannula assembly may comprise a cannula hub. The cannula assembly may further comprise an outer tube that extends from a distal end the cannula hub. The cannula assembly may further comprise an inner tube that extends from the distal end of the cannula hub and is disposed in the outer tube, wherein the inner tube has a cannula tip that extends from the outer tube and is retractable into the outer tube.

Abstract: A surgical access assembly includes an instrument valve housing defining a cavity, and a seal assembly disposed within the cavity of the instrument valve housing. The seal assembly includes a flange seal member and a centering mechanism. The flange seal member includes an annular member, a flange portion extending from the annular member, and a seal portion supported by the annular member and defining an opening dimensioned to receive a surgical instrument in a sealing relation. The flange portion includes first and second arcuate portions adjustably engaging the instrument valve housing in a sealing relation. The first and second arcuate portions have a parabolic profile. The centering mechanism maintains the seal assembly centered within the cavity of the instrument valve housing.

Abstract: A catheter system may include a catheter adapter, a catheter extending distally from the catheter adapter, an introducer needle extending through the catheter, a flash chamber in fluid communication with a needle lumen of the introducer needle, and a seal element. The introducer needle may include a wall defining the needle lumen, a first notch formed through the wall, and a second notch formed through the wall. The seal element may be proximal to the first notch and the second notch and within the catheter between an outer surface of the introducer needle and an inner surface of the catheter. The seal element may prevent priming fluid from travelling distal to the seal element. The seal element in conjunction with the first notch, the second notch, and the flash chamber may facilitate pressure-driven blood flow into the catheter for detection of flashback and transfixing when priming occurs prior to insertion into vasculature.

Abstract: An access apparatus includes an access housing, an access member extending from the access housing, a fluid connector mounted to the access housing and a control valve mounted to the fluid connector. The control valve is positionable relative to the fluid connector between a first position corresponding to a desufflation operative state permitting rapid desufflation of the underlying body cavity, a second position corresponding to an insufflation operative state permitting insufflation fluid flow into the access member and into the underlying body cavity, and a third position corresponding to a closed operative state.

Abstract: A catheter assembly may include a catheter adapter, which may include a proximal end, a distal end, and a lumen extending between the proximal end and the distal end. The distal end may include a catheter configured to be inserted into vasculature of a patient. The catheter assembly may also include a septum, which may be disposed within the lumen of the catheter adapter. The septum may be secured within the lumen in response to increased pressure by one or more of the following: one or more septum stoppers, a retention disc of a needle assembly, a U-shaped washer, and a conical washer.

Abstract: Access assemblies includes an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, and a seal assembly disposed distal of the guard assembly. In embodiments, the seal assembly includes a plurality of seal segments in an overlapping configuration. Each seal segment of the plurality of seal segments includes a seal portion having a smooth surface and a ribbed surface. The ribbed surfaces include a central spline extending in a radial direction and plurality of concentric ribs extending outwardly from the central spline.

Abstract: An electromechanical robotic arm is provided having a distal end with a tool engaging member configured to mate with an electromechanical tool and a trocar holding member configured to mate with a trocar. The trocar holding member can have at least one engagement mechanism configured to engage and orient a trocar to mate the trocar to the trocar holding member in a desired orientation.

Abstract: An introducer sheath assembly (10) having a sheath tube (12), a hub (16), a valve (30) and a valve-retaining cap (50) on the proximal end of the hub. The cap (50) is so secured to the hub (16) as to have a closed, locked position and also an open position permitting access to the interior of the hub and the valve (30) while the cap (50) remains secured to the hub (16).

Abstract: In accordance with aspects of the present invention, a door mechanism is provided. A door mechanism according to some embodiments of the present invention includes a door that includes a sealing part, an arm connected to the sealing part, and a pivot part connected to the arm, the door rotating around a pivot axis at the pivot part; and a lever, the lever engaging the door at the pivot part such that the lever opens the door when engaged but is not affected when the door is opened without the lever.

Abstract: A syringe assembly including: (1) a syringe barrel defining a chamber; (2) a plunger mounted in the chamber and moveable with respect to the barrel; and (3) a cap holder assembly containing a cap and an absorbent material removably attached to the syringe.

Abstract: The present disclosure relates to laparoscopic surgery, and in particular to laparoscopic ports for facilitating the implant of medical systems such as a neuromodulation system into the body of a patient. Particularly, aspects are directed to a cannula assembly having a cannula housing and a cannula sleeve comprising a sleeve body extending from a distal end of the cannula housing. The cannula sleeve has a semi-rectangular cross section including: (i) a rounded rectangular portion configured to accommodate feeding the neuromodulation system through the cannula assembly, and (ii) a circular portion configured to accommodate insertion of the one or more surgical instruments through the cannula assembly.

Abstract: An exemplary valve repair device for repairing a native valve of a patient includes a pair of paddles, a coaption element, and a covering. The coaption element has a first end portion and a second end portion. The coaption element is connected to the pair of paddles. The covering is disposed over the caption element. The covering prevents blood from flowing through the caption element.

Abstract: An expandable medical sheath can include a sheath body having a lumen that extends between proximal and distal ends of the sheath. The sheath can have first and second members where the first member has a different elastic modulus than the second member such that one provides elasticity to the sheath and the other provides column strength. The first and second members can be coupled together in alternating sections to form the tubular sheath or the stiffer members can be embedded in the elastic member along all or a portion of the longitudinal length of the sheath. The sheath can automatically move to an expanded state to allow a larger diameter medical device to pass through the lumen, and once through the sheath can automatically return to its initial diameter.

Abstract: The present disclosure provides a catheter tip comprising a cavity extending between an expandable opening arranged at a first end of the catheter tip and a second end of the catheter tip, wherein the expandable opening is configured to increase in diameter from a first position to a second position in response to application of an external force to the second end of the catheter tip.

Abstract: An introducer sheath (300) includes a body (305) extending between a leading end (304) and a trailing end (302) and including a plurality of rectangular segments (310) extending from the leading end to the trailing end. The segments are joined to one another along longitudinal edges to form a tubular structure with a lumen (308) therethrough, the segments being joined at vertices (314). The body has a collapsed condition with a first cross-section and is configured to transition from the collapsed condition to an expanded condition with a second cross-section when an apparatus is passed through the lumen, the second cross-section having a maximum dimension larger than a maximum dimension of the first cross-section.

Abstract: A seal assembly establishes sealing engagement with a plurality of differently dimensioned instruments passing through a trocar. The seal assembly is a caged seal assembly movably disposed within the trocar and includes at least two seal segments disposable into and out of a sealing orientation relative to the instrument. A cage structure of the seal assembly includes at least two cage segments each connected to a seal segment, a biasing assembly connected to the cage structure and disposed and structured to normally bias the seal segments into sealing orientation.

Abstract: A trocar assembly includes a trocar housing that defines a working chamber, and a cannula having a proximal end and a distal end and defining a lumen that extends between the proximal and distal ends. The cannula is coupled to the trocar housing at the proximal end to facilitate communication between the lumen and the working chamber. A radial biasing device is arranged at or near the distal end of the cannula and includes an annular body coupled to the cannula and a compliant stabilizing member transitionable between a relaxed position and an extended position when acted upon by a surgical tool introduced into the lumen and passing through the compliant stabilizing member.

Abstract: The invention refers to a needle for follicular aspiration, having a base with a through-hole, inside of which a needle cannula is coupled, the needle cannula having a front aspiration end which protrudes from a front end of the base, and a rear end which freely protrudes from the rear end of the base, the through-hole of the base having a frustro- conical segment tapering from the rear end towards the front end of the base, forming a gap between the inner surface of the base and the outer surface of the needle cannula for coupling a biological sample collecting line.

Abstract: An antiseptic cap and packaging for use with a connector are provided. The antiseptic cap includes a material containing an antiseptic solution. Upon application of the cap to the connector, the material compresses thereby releasing the antiseptic solution. Packaging of the antiseptic cap typically includes a cap holder and a lid. A user could remove the cap from the cap holder before applying it to a connector. Alternatively, the cap holder may be used to apply the cap to the connector.

Abstract: An access apparatus includes an access housing, an access member extending from the access housing, a fluid connector mounted to the access housing and a control valve mounted to the fluid connector. The control valve is positionable relative to the fluid connector between a first position corresponding to a desufflation operative state permitting rapid desufflation of the underlying body cavity, a second position corresponding to an insufflation operative state permitting insufflation fluid flow into the access member and into the underlying body cavity, and a third position corresponding to a closed operative state.

Abstract: A surgical access device includes a cannula having proximal and distal ends and a cannula lumen. A housing assembly coupled to the proximal end includes a proximal housing and a latch ring having a user engagement feature. The latch ring is rotatable by the user engagement feature to selectively couple and decouple the proximal housing with the cannula. An interior of the housing assembly communicates with the cannula lumen to define a working channel extending along a central axis of the surgical access device. First and second needle ports open to the working channel through respective first and second side portions of the surgical access device. Each needle port is configured to direct a suture needle across the working channel at an oblique angle relative to the central device axis. The user engagement feature is circumferentially offset from each of the first and second needle ports.

Abstract: A valve (100) for use in delivering a medical device comprises first and second ends and an hourglass shaped centre section defining an aperture (34) for accepting a guidewire. The application of torsion about the centre section closes the aperture to seal against the guidewire.

Abstract: Infusion balloon catheter with fortified proximal infusion outlet port, and manufacturing thereof. Infusion balloon catheter includes: inflatable balloon member; shaft having distal end attached to balloon member, and shaft wall enclosing: first lumen providing passage to balloon inflation fluid, and second lumen providing passage to infusion fluid and guidewire; and bending-resistant insert member housed in second lumen and located proximally to balloon member, insert member is affixed to, and conforms to shape of, shaft inner wall surface, and includes one or more openings(s). Shaft wall has infusion outlet port located along, and providing opening to, second lumen proximally to balloon member. Insert opening(s) is/are in direct fluid communication with infusion outlet port whose cross-sectional area is larger than that of infusion inlet opening. Bending-resistant insert member provides fortifying structural support to shaft wall portion surrounding infusion outlet port.

Abstract: A seal assembly including a septum seal, a lower seal support, an upper seal support and a return spring is disclosed. The septum seal includes an orifice and a plurality of apertures. The lower seal support includes an engagement surface configured to engage a portion of the septum seal. The upper seal support includes a plurality of fingers, wherein each of the plurality of fingers is configured to extend through a corresponding aperture of the septum seal. The return spring includes a collar portion and a plurality of spokes extending radially outward from the collar portion. At least a portion of the return spring may be sandwiched between the lower seal support and the upper seal support. The plurality of spokes is configured to bias the seal assembly toward a radial center of a housing.

Abstract: Aspects of the present disclosure include needle devices in which a needle has a notch or slot. A flashback indicator is provided at least in part in the needle lumen at the notch, adjacent the notch, or partially inside and partially outside of the notch. In use, blood flow through the needle lumen is indicated at the flashback indicator. When used with a catheter tube, the flashback indicator can be viewed through the catheter tube. The needle with the notch and flashback indicator may be used with a variety of needle applications, including as catheter assemblies, indwelling assemblies, and most, if not all, over-the-needle type devices.

Abstract: A lamellar cover for use with an articulating joint is disclosed. The cover includes an annular retainer positionable adjacent a first portion of the articulating joint. A retainer fitting is positionable adjacent a second portion of the articulating joint that is moveable with respect to the first portion. A plurality of overlapping lamellar rings are supported between the annular retainer and the retainer fitting. Each lamellar ring includes a circular support ring, such as an o-ring, and a plurality of lamellas coupled to the circular support ring. One or more connectors extend between adjacent lamellar rings. Each of the plurality of overlapping lamellar rings has a ring diameter. One or more of the ring diameters decrease in size with respect to each other from the annular retainer to the retainer fitting thereby forming a tapered cover around the articulating joint.

Abstract: A trocar sensor unit including a base that is configured to be attached to and detached from a trocar and that has a through-hole through which an insertion section to be inserted into the trocar is inserted; a moving member that has a pressing surface forming at least a portion of an inner surface of the through-hole of the base and that is configured to be moved in a radial direction of the through-hole; and a sensor that is disposed in at least one of the moving member and a portion of the inner surface of the through-hole opposite the pressing surface and that detects the amount of movement of a surface of the insertion section in the through-hole.

Abstract: An introducer sheath assembly (10) having a sheath tube (12), a hub (16), a valve (30) and a valve-retaining cap (50) on the proximal end of the hub. The cap (50) is so secured to the hub (16) as to have a closed, locked position and also an open position permitting access to the interior of the hub and the valve (30) while the cap (50) remains secured to the hub (16).

Abstract: A laparoscopic port is disclosed which includes a tubular member comprising a proximal end and a distal end and a lumen extending there between. At least one seal member provided in the lumen adapted to prevent pressurized gas flow from the distal end to the proximal end of the tubular member. The laparoscopic port further includes a shielding trigger positioned distal to the seal member in the lumen, the shielding trigger is shaped so as at least a proximal portion of the shielding trigger has a narrowing cross-section that extends towards the seal member, the proximal portion is adapted to actuate a reversibly opening and protection of the seal member upon a proximally projected pressure from a distal end of an artifact.

Abstract: A surgical access device that includes a seal assembly. The seal assembly includes an upper housing portion having a first seal and a lower housing portion including a second seal. The upper housing portion is rotatably connectable to the lower housing portion. The surgical access device also includes a rotation prevention mechanism configured to prevent inadvertent relative rotation of, and disconnection of, the upper housing portion and the lower housing portion. The rotation prevention mechanism is further configured to be selectively actuated by a user, such that, when actuated, the upper housing portion is selectively rotatable relative to, and disconnectable from, the lower housing portion.

Abstract: Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path.

Abstract: A method of securing an access port to a vessel can include positioning an access port adjacent to a wall of the vessel. The access port can include an implantation passageway and a guidance passageway that is connected to the implantation passageway. The implantation passageway can be open, during the positioning of the access port, at a position proximal to a location at which the implantation passageway and the guidance passageway are connected. The method can further include forming an opening in the wall of the vessel via instruments that extend through the implantation passageway. The method can include securing the access port to the vessel such that the implantation passageway is in fluid communication with an interior of the vessel via the opening in the wall of the vessel. The method can also include sealing the implantation passageway at the position proximal to the guidance passageway.

Abstract: A surgical access device that includes a seal assembly. The seal assembly includes an upper housing portion having a first seal and a lower housing portion including a second seal. The upper housing portion is rotatably connectable to the lower housing portion. The surgical access device also includes a rotation prevention mechanism configured to prevent inadvertent relative rotation of, and disconnection of, the upper housing portion and the lower housing portion. The rotation prevention mechanism is further configured to be selectively actuated by a user, such that, when actuated, the upper housing portion is selectively rotatable relative to, and disconnectable from, the lower housing portion.

Abstract: A safety shield adapted for use with a syringe having a syringe barrel for protecting a needle after use in a medical procedure is disclosed. The safety shield includes a first portion disposed at least partially about the barrel and axially movable from a retracted position surrounding at least a portion of the syringe barrel to an extended position wherein at least the distal end of the first portion extends beyond the distal end of the syringe barrel. The shield further includes a second portion associated with the first portion and axially movable with respect to the first portion from a retracted position to an extended position extending beyond the distal end of the first portion. First and second locking members are provided for locking the first and second portions in an extended position upon axial movement thereof.

Abstract: An aspiration probe tip for use in surgical procedures includes a body defining a first channel therein for aspirating material therethrough from a surgical region along a first vector. The body includes a straight portion connected to a first end and a curved portion connecting the straight portion to a second end. A fluid sleeve surrounds at least a portion of the body and defines a second channel between the fluid sleeve and the body for injecting a fluid into the surgical region along a second vector. An end of the fluid sleeve securely fits over the body to substantially seal the end of the fluid sleeve. The fluid sleeve further defines an aperture for injecting fluid along the second vector from the second channel into the surgical region. A combination of the aspiration of the material into the first channel from the surgical region along the first vector and injection of fluid into the surgical region from the second channel creates a cyclonic movement within the surgical region.

Abstract: An attachment part with a coupling part by means of which coupling part the attachment part can be attached to a dispensing unit. The coupling part has a female cone area, with a continuous inlet opening, and a locking structure arranged around the female cone area. The female cone area can be pushed onto a male cone area of the dispensing unit, in order thereby to connect the attachment part to the dispensing unit. The locking structure serves to secure the attachment part on the dispensing unit. The first coupling part additionally has a rotation element, which is rotatable concentrically about the female cone area and on which the first locking structure is formed. The rotation element has an actuating element, which serves to rotate the rotation element relative to the female cone area.

Abstract: A cannula for use in laparoscopic surgery has a central passage which may accept a trocar to create a laparoscopic incision in a body wall to an inner body cavity. A tubular section of the cannula is then pressed into the incision to form a port. The tubular section has passages through its walls for suturing needles and a source for insufflating gas. A tubular sleeve is slidably supported on the outer side of the tubular cannula for movement between a raised position clear of the needle passage exit ports and a lowered position blocking the exit ports to prevent insufflation gases from passing into the body wall.

Abstract: A rotary structure having a large upper part, a small middle part and a large lower part is formed between guiding blocks (11) of a guiding mechanism (1). A positioning groove (10) is disposed at the wasp-waist of the guiding block (11). The bottom of a sealing ring (3) is embedded in the positioning groove (10) to surround the guiding block (11). When a surgical instrument is inserted, the sealing ring (3) confined within the positioning groove (10) extends out of the gap between the guiding blocks (11) to surround the instrument. The contact area between the sealing ring (3) and the instrument provides a guiding function to different forms of surgical instrument and transforms a “soft-hard” friction area between the sealing ring (3) and the instrument into a “hard-hard” friction area between a plastic guiding surface of the guiding blocks (11) and an outer metal sheath of the instrument.

Abstract: A surgical access apparatus includes an access member defining a longitudinal axis and having a longitudinal passageway for reception and passage of a surgical object and an access housing mountable to the access member. The access housing includes a diaphragm mounted thereto. The diaphragm is adapted for rotational movement about the longitudinal axis relative to the access housing. The diaphragm defines at least one internal pocket and has a seal assembly disposed within the internal pocket. The seal assembly has an interface seal member adapted for establishing a fluid tight seal about the surgical object. The seal assembly is adapted for selective movement within the pocket about multiple axes in response to manipulation of the surgical object.

Abstract: In one general aspect, an apparatus can include an elongate member configured to be associated with an implant and having a piercing portion. The apparatus can include a deflection member having a fixed curvature disposed within a plane. The deflection member can have a distal end configured to be disposed within a body of a patient. The deflection member can define a groove extending along at least a portion of the deflection member. The groove of the deflection member can be configured to deflect the piercing portion of the elongate member.

Abstract: Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path.

Abstract: The present disclosure relates to a catheter insertion device, which comprises a catheter hub in which a check valve is arranged, and a catheter, which is in fluid communication with the catheter hub, wherein a support element is attached to the catheter, and a flexible buffer element is provided between the support element and the catheter hub.

Abstract: A hybrid cannula may comprise a first portion formed from a first material, a second portion formed from a second material overmolded to the first portion, a third portion formed from a third material and a fourth portion formed from a fourth material overmolded to the third material. The third portion is coupled to the first portion. The first portion may prevent the proximal end of the hybrid cannula from being pushed through a portal. The second portion may include a membrane and the fourth portion may include a dam, the dam defining interior spaces thereof between the proximal and distal ends of the hybrid cannula. The membrane and/or dam may prevent liquid from projecting during insertion or removal of instruments. The distal end of the hybrid cannula may comprise a variety of features.