Abstract: An infusion device. The infusion device includes a top portion comprising an introduction needle, and a bottom portion comprising a cannula, the top portion removably attached to the bottom portion, wherein the introduction needle is used to insert the cannula, and wherein after insertion, the top portion is removed from the bottom portion.

Abstract: Devices, methods and systems are provided for occluding an opening within the tissue of a body, such as a left atrial appendage. In one embodiment, a delivery system for use in occluding an opening in the tissue of a body includes an actuation assembly operatively coupled to a medical device including an anchor portion and an occluder portion. The actuation assembly is configured to move the anchor portion between a deployed state and retracted state while the occluder portion maintains a deployed state. With this arrangement, the deployed occluder portion can be visualized via imaging at a preferred position prior to deploying the anchor portion of the medical device.

Abstract: An infusion device. The infusion device includes a top portion comprising an introduction needle, and a bottom portion comprising a cannula, the top portion removably attached to the bottom portion, wherein the introduction needle is used to insert the cannula, and wherein after insertion, the top portion is removed from the bottom portion.

Abstract: A connecting element for connecting two hollow bodies through which a fluid can flow comprises a first connecting part which can be brought into fluid-tight flow connection with a first hollow body through which a fluid can flow, a sealing element which is arranged at least partially in an inner area of the first connecting part and a locking element which is arranged on an outside of the first connecting part. The locking element can be transferred from an unlocked position into a locked position, wherein the locking element in the locked position acts upon the sealing element in such a way that an inside diameter of the sealing element is smaller than when the locking element is in the unlocked position.

Abstract: Disclosed herein is a valve assembly comprising a male luer end portion and a female luer end portion and a passage for the transfer of fluids extending between the male and female luer end portions, valve means movable between a first position, in which the passage is closed, and a second position, in which the passage is open, biasing means for biasing the valve means toward the first position, and actuating means extending into the male luer end portion and coupled to the valve means to actuate the valve means when a female luer end portion of a medical accessory is engaged with the male luer end portion.

Abstract: Disclosed herein is a valve assembly comprising a male luer end portion and a female luer end portion and a passage for the transfer of fluids extending between the male and female luer end portions, valve means movable between a first position, in which the passage is closed, and a second position, in which the passage is open, biasing means for biasing the valve means toward the first position, and actuating means extending into the male luer end portion and coupled to the valve means to actuate the valve means when a female luer end portion of a medical accessory is engaged with the male luer end portion.

Abstract: The subject invention pertains to medical apparatuses and methods for reducing or preventing leakage of injected therapeutic agents (including liquid-containing substances, cells) into a solid or hollow tissue/organ after puncturing.

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 a sorbent 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 infusion system for delivery of therapeutic fluids from a remote source into a patient's body. The system has an infusion assembly, a rotating pivot joint member, a fluid connector assembly, and a sealing assembly retained within the infusion assembly between the housing of the infusion assembly and the rotating pivot joint member. The seal reduces leakage of fluids. The rotating joint may be pivoted to three distinct positions to allow for emplacement on the patient, delivery of the therapeutic fluid to the patient, and protected, sealed closure of the fluid channels to avoid patient fluid backflow.

Abstract: A bronchoscope adapter is configured for one hand operation by providing a slide lock that is captured within a housing and a retaining nut that can be operated with a single finger or thumb. Rotation of the retaining nut is eased by isolating rotational force from a compression block with a spacer ring.

Abstract: A hemostasis valve has a housing having proximal and distal ends defining proximal and distal openings configured for passage of a medical device therethrough. The housing further defines a cavity between the proximal and distal ends. One or more rollers are received within the cavity and define end sections and a central section having a smaller diameter than the end sections. Sleeves are disposed about the rollers and are elastically deformable to form a fluid seal around the device. The sleeves each assume a first form when the device is absent from the cavity wherein a radially inner surface of the sleeve is located at a first distance from the central section of a roller and a second form when the device is present in the cavity wherein the surface is located at a second distance, less than the first distance, from the central section of the roller.

Abstract: The present invention relates to a valve assembly for sealing a through passage of a catheter introducing device, comprising a sealing unit having a movable closing member connected to a biasing means, and a seat member arranged with a sealing surface around the aperture of the through passage, wherein the biasing means is arranged to urge the closing member to sealably abut against the sealing surface, corresponding to a closed position, so as to prevent flow of fluid through the valve. The invention also relates to a catheter introducer assembly comprising a valve assembly.

Abstract: A hemostasis valve has a housing having proximal and distal ends defining proximal and distal openings configured for passage of a medical device therethrough. The housing further defines a cavity between the proximal and distal ends. One or more rollers are received within the cavity and define end sections and a central section having a smaller diameter than the end sections. Sleeves are disposed about the rollers and are elastically deformable to form a fluid seal around the device. The sleeves each assume a first form when the device is absent from the cavity wherein a radially inner surface of the sleeve is located at a first distance from the central section of a roller and a second form when the device is present in the cavity wherein the surface is located at a second distance, less than the first distance, from the central section of the roller.

Abstract: A portion of an outer periphery of a plug body of a forceps plug is cut out to form an arm having a shape along the circumferential direction of an outer peripheral surface of an opening. A tip portion of the arm is formed with a boss that protrudes toward the opening. An outer peripheral surface of the opening tip portion is formed with a cam groove for a forceps plug that guides the boss. The cam groove for a forceps plug is constituted by a cam groove for attachment that guides the boss 33 when the forceps plug is attached, a cam groove for locking that locks the boss, and a cam groove for removal that guides the boss when the forceps plug is removed. When the boss moves along the cam groove for removal, the deflection of the arm exceeds an elastic limit, and the arm breaks.

Abstract: A valve assembly includes a valve housing having an upper body portion and a lower body portion that define an internal chamber for accommodating a valve member. The housing has axially aligned inlet and outlet ports. The valve assembly includes a generally spherical valve member seated within the internal chamber that defines first and second bores. The first bore defines a first longitudinal axis and the second bore defines a second longitudinal axis offset relative to the first longitudinal axis. The valve member is mounted for movement between a first position and a second position. The valve assembly includes a caroming mechanism for moving the valve member between the first position and the second position, including cam surfaces formed on the exterior surface of the valve member and a cam pin formed on the interior surface of the upper body portion of the housing.

Abstract: A forceps plug includes a tubular plug main body, and a tubular fixing member rotatably held on the outer periphery of the plug main body. The inner peripheral surface of the fixing member is provided with a pair engaging claws. A ratchet mechanism that allows the fixing member to move to an incorporated location, an attachment position, a fixed position, and a removal position in order, but stops further movement to a position where the fixing member has moved once is provided between the inner peripheral surface of the plug main body and the outer peripheral surface of the fixing member. Since the fixing member of the used forceps plug removed from a opening is stopped from being to the fixed position by the ratchet mechanism, the fixing member cannot be fixed to the opening. Reuse of the used forceps plug can be made impossible without being accompanied by destruction.

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. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough.

Abstract: A medical injection system includes an elongate injection apparatus and an actuator apparatus. The actuator apparatus includes a fitting for coupling the actuator apparatus to a delivery catheter and a reversible gripping means to grip the injection apparatus; the gripping means is included in a plunger that is slideably engaged with the fitting and directs the injection apparatus through a fitting lumen and through a catheter lumen, when the fitting is coupled to the catheter.

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. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough.

Abstract: Devices and methods for vacuum-assisted removal of surgically contaminated gas from an insufflated body cavity, the contaminants comprising smoke, aerosols, vapor, mist and the like generated during surgical procedures in order to clear the surgeon's vision of the surgical site and prevent exposure of the surgical staff to the gas. One embodiment of the present invention comprises a series of flow restriction devices to enable stepping down of the flow rate generated by an external vacuum. This reduced flow rate allows safe yet rapid removal of the toxic and vision-obstructing surgical byproducts from the patient's body cavity. The initial flow restriction device may comprise a perforated trocar sleeve in fluid communication with the vacuum source that allows retention of the surgical instrument within the trocar's inner lumen with concurrent smoke removal. The flow rate is infinitely variable, adjustable and selectable using a flow control adjuster comprising a smoothly varying orifice.

Abstract: Devices and methods for vacuum-assisted removal of surgically contaminated gas from an insufflated body cavity, the contaminants comprising smoke, aerosols, vapor, mist and the like generated during surgical procedures in order to clear the surgeon's vision of the surgical site and prevent exposure of the surgical staff to the gas. One embodiment of the present invention comprises a series of flow restriction devices to enable stepping down of the flow rate generated by an external vacuum. This reduced flow rate allows safe yet rapid removal of the toxic and vision-obstructing surgical byproducts from the patient's body cavity. The initial flow restriction device may comprise a perforated trocar sleeve in fluid communication with the vacuum source that allows retention of the surgical instrument within the trocar sleeve's inner lumen with concurrent smoke removal.

Abstract: A catheter includes a proximal end, a distal end, a tubular member, and an inner member extending through the tubular member. The inner member is movable axially relative to the tubular member. The catheter also includes a seal member including a first portion and a second portion. The seal member extends between the tubular member and the inner member. The first portion of the seal member remains stationary relative to the tubular member, and the second portion of the seal member remains stationary relative to the inner member during relative axial movement between the tubular member and the inner member.

Abstract: A device for transferring fluids between an internal structure in a living body and an exterior thereof comprises a housing including a pressure activated lumen extending to a distal end opening to a power injection lumen that extends to a distal port configured for connection to a fluid conduit extending to a target structure within the body and a pressure activated valve extending across the pressure activated lumen and controlling fluid flow therethrough, in combination with a proximal port coupled to the housing for movement between a first position in which a proximal end of the power injection lumen opens to the proximal port and a second position in which a proximal end of the pressure activated lumen opens to the proximal port.

Abstract: A medical product configured for use in a medical system and a method of handling a medical system comprising a first subsystem and a second subsystem containing a medical fluid are provided. A connector connects the first and second subsystems for transport of the medical fluid from one of the subsystems to the other subsystem. The connector comprises a valve device, a first connection pipe connectable to the first subsystem, and a second connection pipe connectable to the second subsystem. The valve device comprises a first part and a second part, which are movable in relation to each other to permit an opening movement from a closed position, preventing a fluid communication between the first and second connection pipes, and an open position permitting the fluid communication. The medical product comprises a blocking member preventing, in a blocking state, the opening movement, and permitting changing of the blocking state to a non-blocking state permitting the opening movement.

Abstract: A dispenser using a stopcock valve has a first and second chamber. The first chamber has a flow material and is pressurized with air. The first chamber is connected to a stopcock valve that holds a second chamber which has a pressure sensor when the stopcock valve is rotated to the proper orientation. The stopcock valve is then rotated to a dispensing position where the flow material is dispensed under pressure to an outlet. By using the air pressure sensor and by taking into consideration the volume of the second chamber, the amount of flow of material can be dosed out consistently.

Abstract: A kit for charging an infusion pump having a reservoir for holding a local anesthetic. The kit includes a first stopcock having an input port, a first input/output port and a second output port and a manual control for selectively coupling either the first input/output port or the second output port to the input port. The kit further includes a second stopcock having an input port, first and second output ports and a manual control for selectively coupling either the first output port or the second output port to the input port. The second output port of the first stopcock is adapted for coupling to the input port of the second stopcock. The kit further includes a syringe adapted to be coupled to the first input/output port of the first stopcock and tubing for coupling the input port of the first stopcock to a source of the liquid and for coupling the output port of the second stopcock to an input port of the pump.

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: The invention comprises a hemostatic valve apparatus used in medical procedures that provides a valve that is always sealed. The valve apparatus incorporates a double twist and a rotation member placed between the ends of the valve. Because the valve is never fully opened, either no fluids or an insignificant amount of fluids will flow when used in surgical or interventional procedures. The invention also comprises a valve conduit with first and second fixed ends and a rotatable member positioned between the first and second ends.

Abstract: An indwelling needle assembly includes a stylet having a sharp needlepoint at an end thereof, a stylet hub secured to a base end of the stylet, a hollow outer needle in which the stylet is inserted, an outer needle hub secured to a base end of the outer needle, an opening formed at the base end or at a side of the outer needle hub to communicate with the inner cavity of the outer needle, a seal fitted onto the outer needle hub and in which a hole or slit is provided for insertion of the stylet therein, the hole or slit being formed to become closed when the inserted stylet is extracted, an operating part installed on the outer needle hub to move the stylet and outer needle along the longitudinal direction when the stylet is inserted into the outer needle, and a movement suppresser for stopping or suppressing moving the stylet relative to the seal when the operating part is operated.

Abstract: A trocar assembly includes a trocar valve body defining a cavity. The assembly includes a rotatable valve handle that is elongated and has a first end and a second end. The first end is sized and configured to be rotatably maintained within the cavity and the second end extends outwardly so as to be actuatable by a user. The rotatable valve handle defines a lumen therethrough which extends longitudinally from the first end to the second end. The valve body defines an outlet that communicates with the cavity. The rotatable valve handle is rotatable from an open position, in which the lumen is at least partially aligned with the outlet so as permit fluid to pass through the lumen, and a closed position, in which the lumen is not aligned with the outlet so as prevent fluid to pass through the lumen.

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: A device for transferring fluids between an internal structure in a living body and an exterior thereof, comprises a housing including a pressure activated lumen extending to a distal end opening to a power injection lumen that extends to a distal port configured for connection to a fluid conduit extending to a target structure within the body and a pressure activated valve extending across the pressure activated lumen and controlling fluid flow therethrough, the pressure activated valve opening to permit fluid flow therethrough into the power injection lumen when a fluid pressure differential thereacross is at least a first predetermined threshold level and remaining sealed when the fluid pressure differential thereacross is less than the first threshold level in combination with a proximal port coupled to the housing for movement between a first position in which a proximal end of the power injection lumen opens to the proximal port and a second position in which a proximal end of the pressure activated lum

Abstract: A trocar assembly includes a trocar valve body defining a cavity. The assembly includes a rotatable valve handle that is elongated and has a first end and a second end. The first end is sized and configured to be rotatably maintained within the cavity and the second end extends outwardly so as to be actuatable by a user. The rotatable valve handle defines a lumen therethrough which extends longitudinally from the first end to the second end. The valve body defines an outlet that communicates with the cavity. The rotatable valve handle is rotatable from an open position, in which the lumen is at least partially aligned with the outlet so as permit fluid to pass through the lumen, and a closed position, in which the lumen is not aligned with the outlet so as prevent fluid to pass through the lumen.

Abstract: A valve assembly includes a valve collar, a rotatable valve control member, and a flexible valve member disposed therebetween. The valve control member and the valve collar are aligned to define an elongated passageway, and the flexible valve member is disposed along the passageway. The valve collar is structured such that at least a portion thereof is capable of radial flexure upon engagement with a mechanism on the rotatable valve control member. One end of the valve member is secured to the valve collar, and the other end is secured to the rotatable valve control member.

Abstract: A medical valve has an open mode that permits fluid flow, and a closed mode that prevents fluid flow. The valve has a housing having an inlet and an outlet, and a valving mechanism within the housing to alternatively fluidly connect the inlet and the outlet. The valve is in the open mode when the inlet and outlet fluidly connect. Insertion of a medical implement into the inlet produces a positive fluid displacement at the outlet. In addition, withdrawal of the medical implement as the valve transitions from the open mode to the closed mode produces a substantially neutral fluid displacement at the outlet.

Abstract: The invention comprises a hemostatic valve apparatus used in medical procedures that provides a valve that is always sealed. The valve apparatus incorporates a double twist and a rotation member placed between the ends of the valve. Because the valve is never fully opened, either no fluids or an insignificant amount of fluids will flow when used in surgical or interventional procedures. The invention also comprises a valve conduit with first and second fixed ends and a rotatable member positioned between the first and second ends.

Abstract: A medical valve device includes a valve unit. The valve unit includes two fluid channels and is positionable to selectably connect two inlet ports and an outlet port such that in one position, fluid introduced at a first inlet port is caused to flow in a first fluid channel to a second inlet port and thence in a second fluid channel from said second inlet port to said outlet port.

Abstract: A trocar system includes a cannula having a cannula head and a cannula tube, and an obturator having a cap and either a rounded tip or a cutting blade. The head and cap form an ergonomically shaped bulbous handle. At least a portion of an outer surface of the cannula head may include a resilient non-slip material. The cannula head may also include a monolithic housing having a port with a Luer Lock fitting and an integrally formed passageway for receiving a stopcock valve.

Abstract: Methods and devices for accessing a body cavity are disclosed. In general, a trocar assembly is provided that can include a housing having a cannula that extends therefrom to define a working channel that is sized and configured to receive a surgical instrument. The trocar assembly can also include a seal unit that is disposed in the housing. The seal unit can be generally configured to allow off-axis insertion of an instrument through the working channel without lateral movement of the seal unit. For example, in one exemplary embodiment, the seal unit can be rotatably disposed in the housing and have at least one seal element that is adapted to selectively seal the working channel. The seal unit can also be adapted to rotate about a longitudinal axis of the assembly and an axis perpendicular thereto.

Abstract: A 3-way stopcock for medical use is described and includes a body or nucleus (1) wherein a principal arm (2) and two secondary arms (3, 3?) converge and a plug or stopper (4) acting inside the body or nucleus (1). According to the invention, the two secondary arms (3, 3?) present initial curved flexible segments (3a, 3?a) having a high elastic index, which respectively extend into parallel final distal segments (3b, 3?b).

Abstract: A valve/seal assembly that is adapted for use in a variety of applications, such as for example, medical, consumer beverage, pharmaceutical containers, automobile, household appliance and marine. The valve includes, a valve housing having an upper body portion and a lower body portion and a generally spherical valve member. The upper and lower body portions of the housing define an internal chamber for accommodating the valve member and a central axis for the valve. The generally spherical valve member is seated within the internal chamber of the valve housing and has an axial bore extending therethrough. The valve member is mounted for movement between an open position; wherein the axial bore of the valve member is axially aligned with the inlet and outlet ports of the valve housing, and a closed position; wherein the axial bore of the valve member is out of alignment with the inlet and outlet ports of the valve housing.

Abstract: A trocar assembly that comprises a trocar valve body defining a cavity, the valve body for communicating insufflation fluid therethrough. The assembly also comprises a selectively rotatable valve handle for controlling a flow of said insufflation fluid through the valve body. The rotatable valve handle is elongated and has a first end and a second end. The first end is sized and configured to be rotatably maintained within the cavity and the second end extends outwardly so as to be actuatable by a user. The rotatable valve handle defines a bore therethrough which extends longitudinally from the first end to the second end. The valve body defines an outlet that communicates with the cavity. The rotatable valve handle is rotatable from an open position, in which the bore of the valve is at least partially aligned with the outlet so as permit fluid to pass through the bore, and a closed position, in which the bore of the valve is not aligned with the outlet so as prevent fluid to pass through the bore.

Abstract: A trocar system for endoscopic surgery, cap assembly, and related methods are provided. The cap assembly includes a housing with an opening formed in line with an axis of the housing. The cap assembly also includes a variable opening flexible sealing gland having a stack of valve body sections each including a valve extension extending from a valve ring and having a valve opening and a slit extending between a valve opening and the valve ring. The combination of the individual valve body sections forms a substantially conically shaped iris diaphragm portion of the sealing gland. The iris is positioned to individually and separately receive elongate tools so that when any one of the elongate tools is positioned through the valve opening, a seal is maintained between peripheries of the seal gland surrounding the iris and outer peripheries of the inserted elongate tool.

Abstract: An embodiment of the invention includes an entry needle. The entry needle may include a cannula, a needle extending within a lumen of the cannula, and a hub operatively associated with a proximal portion of the cannula. The hub may include a branch in communication with the lumen of the cannula. The needle may be movable between a first position and a second position. In the first position, the needle may prevent communication between an opening in an outer wall of the cannula and the branch. In the second position, the needle may allow communication between the opening in the outer wall of the cannula and the branch.

Abstract: A surgical seal assembly includes a sleeve housing adapted to be operatively connected to a surgical sleeve, a seal housing adapted for releasable mounting to the sleeve housing and having a seal member with inner portions adapted to permit passage of a surgical object in substantial sealed relation therewith, and a manual lock member associated with the sleeve housing. The manual lock member is adapted for movement relative to the seal housing between a first position corresponding to a release position of the seal housing to permit removal of the seal housing from mounting to the sleeve housing and a second position corresponding to a lock position of the seal housing to secure the seal housing to the sleeve housing. The manual lock member is preferably adapted for rotational movement relative to a longitudinal axis of the seal housing to move between the first and second positions thereof.

Abstract: A three-way stopcock that can be opened/closed in the same manner as conventional operation methods and can reduce stagnated portions of fluid in a fluid flow passage. Out of branch openings, a first branch opening and a second branch opening are arranged on a straight line, and a third branch opening is directed perpendicularly to the line connecting the first and second branch openings. Provided at a flow passage switch portion are a first flow-passage opening and a second flow-passage opening that are arranged on a straight line and a third flow-passage opening that is directed perpendicularly to the line connecting the first and second bran openings.

Abstract: A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity includes a seal anchor member comprising a compressible material and being adapted to transition between a first expanded condition to facilitate securing of the seal anchor member within the tissue tract and in substantial sealed relation with tissue surfaces defining the tissue tract and a second compressed condition to facilitate at least partial insertion of the seal anchor member within the tissue tract. The seal anchor member defines a longitudinal axis, and has leading and trailing ends with at least one longitudinal port extending therebetween adapted for reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object. The seal anchor member may comprise a memory foam material and may include a plurality of longitudinal ports.

Abstract: A 3-way stopcock which is intended for sanitary use comprising a body or nucleus (1) wherein a principal channel (2) and two secondary arms (3, 3?) converge and a plug or stopper (4) acting inside said body or nucleus (1). According to the invention, said two secondary arms (3, 3?) present initial curved flexible segments (3, 3?a) having a high elastic index, which respectively extend into parallel final distal segments (3b, 3?b).

Abstract: A trocar system includes a cannula having a cannula head and a cannula tube, and an obturator having a cap and either a rounded tip or a cutting blade. The head and cap form an ergonomically shaped bulbous handle. At least a portion of an outer surface of the cannula head may include a resilient non-slip material. The cannula head may also include a monolithic housing having a port with a Luer Lock fitting and an integrally formed passageway for receiving a stopcock valve.

Abstract: A device and method of providing vascular intervention is provided. The method involves the steps of inserting a guidewire having a flexible tip into an iliac artery and into an aorta, inserting a sheath having an introducer therethrough, the introducer having an angulated flexible tip, into the iliac artery over the guidewire, wherein the angulated tip of the introducer is also inserted into the aorta, and pulling back the guidewire from the introducer so that the angulated flexible tip of the introducer falls over an aortic bifurcation into a contralateral iliac artery. A kit is also provided, the kit having a sheath, an introducer running through the sheath and extending past a distal end of the sheath, and a guidewire running through the sheath and introducer; the guidewire having a flexible tip at a distal end and a stiff portion proximal to the flexible tip.