Abstract: A protector includes an outer tube and an inner tube. The outer tube includes an outer tube main body including an outer tube lumen for housing a puncture device, a holding part for holding a hub, and an extended part extended from the holding part. The inner tube includes an inner tube main body and a lumen inclined part. The inner tube main body is held in a proximal end side of the outer tube lumen and is movable in a proximal end direction of the outer tube lumen. The inner tube main body includes an inner tube lumen into which a tube is inserted. By moving the inner tube in a distal end direction, the inner surface of the lumen inclined part is abutted against the extended part, and the extended part is biased by the lumen inclined part in a direction in which a diameter of the tube is reduced.

Abstract: A protector includes an outer tube and an inner tube. The outer tube includes an outer tube main body including an outer tube lumen for housing a puncture device, a holding part for holding a hub, and a lumen inclined part extended from the holding part. The inner tube includes an inner tube main body and an extended part. The inner tube main body is held in a proximal end side of the outer tube lumen and is movable in a proximal end direction of the outer tube lumen. The inner tube main body includes an inner tube lumen into which a tube is inserted. By moving the inner tube in a distal end direction, the inner surface of the lumen inclined part is abutted against the extended part, and the extended part is biased by the lumen inclined part in a direction in which a diameter of the tube is reduced.

Abstract: A sheath device for inserting a catheter into a patient's body is described. The device has a first sheath with a proximal end and a distal end. When the device is used as intended, the distal end of the first sheath is provided for arrangement in the patient's body and the proximal end of the first sheath is provided for arrangement outside the patient's body. The first sheath comprises a tubular section and a sheath housing, which is disposed at the proximal end of the section and has a receiving channel for a strand-shaped body. The device solves the problem of reliably fixing a second sheath or a catheter with respect to the first sheath by providing a clamping element on the receiving channel for fixing a strand-shaped body in the receiving channel by way of clamping.

Abstract: A sphenocath including a sheath assembly including a sheath hub with a sheath tube extending therefrom with a passage extending from a proximal end of the sheath hub to a distal end of the sheath tube; a catheter assembly including a catheter hub with a catheter tube extending therefrom with a passage extending from a proximal end of the catheter hub to a distal end of the catheter tube; wherein the catheter assembly passes through the sheath assembly with a portion of the catheter hub engaging a portion of the sheath hub to limit relative rotation between the hubs while permitting relative axial movement such that in an initial non-extended position the distal end of the catheter tube is proximate to the distal end of the sheath tube. A system further including a guidewire is also provided. A method of inserting the catheter tube is also provided.

Abstract: A sheath can include a sheath body and a sheath hub. The sheath body can have a generally flexible tubular structure, a proximal end, and a distal end. The sheath body can further define a longitudinal axis. The sheath hub can attach to the proximal end of the sheath body and define a longitudinal axis generally aligned with the axis of the sheath body. The sheath body and sheath hub can also form a central cavity along their respective axes. The sheath hub can include two plates: a flexible plate and a rigid plate. The rigid plate can have a relief generally centered on the sheath body's axis. Advantageously, the flexible plate and rigid plate can overlap to substantially seal the central cavity.

Abstract: This document discusses, among other things, an apparatus comprising a lacrimal implant insertable at least partially into a lacrimal punctum. The lacrimal implant comprises an implant core, and an implant body. The implant body includes a cavity sized and shaped to receive the implant core. At least one of the implant core and the implant cavity includes a detection device configured to allow automatic detection of the lacrimal implant with a separate detector device.

Abstract: A catheter assembly is provided comprising a catheter including a catheter tube and a connector arranged in one end of the catheter tube. The catheter is preferably a urinary, hydrophilic catheter. Further, the assembly comprises a catheter receptacle, a compartment accommodating the wetting fluid, the compartment being an integrated part of the receptacle but is separated from the cavity, the separation between the wetting fluid compartment and the cavity accommodating the catheter providing a rupturable sealed enclosure with at least one point of weakness.

Abstract: A procedure and kit are provided for performing an ultrasound-guided transversus abdominis plane (TAP) procedure. The patient's abdomen is scanned with an ultrasound probe to identify and mark the external oblique, internal oblique, and TAP. An introducer sheath is placed over a fluid delivery needle such that the distal end of the needle extends beyond the distal end of the sheath, the needle having echogenic properties for ultrasound imaging. The needle and sheath are ultrasonically guided into the TAP. A local anesthetic or saline/anesthetic combination is injected through the needle to create a liquid pool in the TAP. The needle is removed from the sheath while maintaining the sheath within the TAP and a catheter is subsequently advanced through the sheath and into the pooled liquid in the TAP. The sheath is withdrawn while maintaining the catheter located within the TAP.

Abstract: A protector (1) is used by being attached to a puncture device (50). The protector (1) includes an outer tube (2) and an inner tube (9). The outer tube (2) includes an outer tube main body (3) including an outer tube lumen (4) for housing the puncture device (50), a holding part (5) for holding a hub (52), and an extended part (8) extended from the holding part (5) in a proximal end direction. The inner tube (9) includes an inner tube main body (10) and a lumen inclined part (12). The inner tube main body (10) is held in a proximal end side of the outer tube lumen (4) and movable in a proximal end direction of the outer tube lumen (4). The inner tube main body (10) includes an inner tube lumen (11) into which a tube (53) is inserted. In the lumen inclined part (12), an inner diameter of the inner tube lumen (11) gradually increases toward a distal end side of the inner tube main body (10).

Abstract: An aseptic re-aspiration catheter apparatus for removing body fluids from a human body includes a front connector connected to a guide tube, into which a catheter having a predetermined length is inserted, and an adjustment tube having a predetermined length. The leading end of the adjustment tube is assembled to the front connector. A front locking member has an inner hole into which the catheter is inserted, is detachably assembled to the front connector, and is disposed inside the adjustment tube. A rear connector is assembled to the rear end of the adjustment tube. A rear locking member is connected to the catheter and detachably assembled to the rear connector, and extends through the connectors. A cap member is detachably assembled to the rear locking member. Blood clots, abscesses, and blood fluids are simply and safely removed from the human body in a short time using the catheter.

Abstract: A needle tip shielding mechanism is described herein. The shielding mechanism comprises an outer housing, an inner housing, and a needle having a needle feature. Generally, the outer housing comprises at least one adapter-interlock feature. Moreover, the inner housing comprises a needle-feature capture mechanism, such as a washer feature, and a needle-tip capture mechanism, such as duckbilled tip barrier. In some cases, the inner housing is slidably moveable within the outer housing. In such cases, the inner housing is movable between a first position that biases the adapter-interlock feature into an engaged position and a second position that allows the adapter-interlock feature to move to an unengaged position. This ability to bias the interlock feature in the engaged position and to allow the interlock feature to move to the unengaged position allows the shielding mechanism to be selectively coupled to and released from an interlock-feature mating component within a catheter adapter.

Abstract: The present invention provides a medical device for insertion into a body, the device having at least one surface covered by and attached to at least one detachable cover and at least one surface hole, such as the cover encapsulate and seals the medical device. The cover can be detached and pulled off the device which remains in the body. The cover includes at least one sealing element for preventing ingress of fluids between the cover and at least part of the medical device. The cover and the at least one sealing element, encapsulates the medical device though it's length, overlapping at least one surface hole. The cover and the at least one sealing element are designed to isolate at least one hole from at least another holes, while enabling free passage through it, in at least partial time period in which the medical device is within the body.

Abstract: The invention relates to a self-expandable tube having a catheter body with a double lumen in which one lumen allows for suctioning or decompression and another lumen for a feeding tube. A self-expandable portion collects secretions above the expandable portion or in the anatomical lumen and a suction source coupled to the self-expandable tube removes the secretions as is disclosed herein.

Abstract: A sheath introducer for use with a catheter, has a hub and a tube through which the catheter extends, and a lock assembly which has a rotational knob that actuates a plurality of prongs arranged in a radial pattern around a hole in the hub that receives the catheter, wherein the prongs synchronously rotate in one direction to grip the catheter or in the other direction to release the catheter.

Abstract: A tool for engaging and withdrawing a wire guide from a patient includes a deformable distal segment having a self-expanding bias such that the distal segment assumes a tortuous configuration, and a control line attached to the distal segment and configured to extend through an intraluminal sheath, such that pulling the control line deforms the distal segment in opposition to the self-expanding bias to tighten about a wire guide. The tool may be withdrawn from the patient while tightened about the wire guide, such that the wire guide simultaneously extends out of the patient at each of a first and a second percutaneous entry point.

Abstract: An improved catheter attachment apparatus is provided for use in reducing infections associated with a percutaneous medical device, such as a catheter. Such a barrier system can include: a barrier device having a catheter-receiving surface or enclosed tube; and an adhesive composition configured for adhering to skin. The improved catheter attachment apparatus forms a physical barrier against microbes at or adjacent to an incision in the skin where the catheter is percutaneously inserted through the skin, yet permits ready access by medical personnel for readjusting the catheter and/or any sutures used therewith.

Abstract: A catheterization device with vents is disclosed which serves to prevent a build-up of air pressure within a closed protective sheath. The vents may be in the form of small openings and may be situated at the distal portion of the catheterization device. The small openings may optionally be covered. They may be on the protective sheath itself or they may be on a distal terminus body connected to the protective sheath. Sample openings include an attached valve which connects the inside of the protective sheath with the external environment, a gas permeable membrane, or a slitted membrane forming 4 flaps.

Abstract: The present invention relates to a device comprising a capillary tube assembly (100) having a proximal (20) end and a distal (30) end, comprising: a think walled capillary tube shaft (10) disposed with a capillary lumen (12) extending from an open proximal (20) end to an open distal (30) end, and a fluidic adapter (40) at the proximal (20) end in fluid connection the capillary tube lumen (12), wherein the capillary tube shaft (10) is adapted for dismountable insertion into a fluid-carrying lumen (212) of a bodily invasive tube (200), and the adapter (40) provides fluidic access to the capillary tube lumen (12) that is fluidically isolated from access to the invasive tube lumen (212). It further relates to an applicator package comprising the capillary tube assembly (100) and an applicator (510).

Abstract: An insertion device for applying an infusion set to the body of a patient, wherein the device has two actuation members which have to be actuated simultaneously to trigger an insertion movement by which a cannula of the infusion set is introduced into the body and wherein, in some embodiments, one of the actuation members is a securing slide including a contact face to be placed on the body of the patient, the securing slide being actuated by the insertion device being pressed, via the contact face, against the body of the patient.

Abstract: Devices and methods for performing in vitro fertilization (“IVF”) and maximizing successful fertilization rates by optimizing the fluid flow conditions under which zygotes are transferred from growth medium to the uterine wall. The apparatus has a control unit with an external port and an internal pump for creating positive and negative fluid pressure at the port. A flexible extension hose connects the port to an inter-uterine catheter assembly. The catheter assembly has an inner catheter and an outer sheath surrounding the inner catheter. The control unit includes a programmable microprocessor that accepts input commands and controls operation of the pump. Optionally, the control unit has remote control means for activating, de-activating, and reversing the flow of the pump. The control unit can be programmed to repeatedly provide the same aspiration and expulsion flow conditions through the catheter assembly.

Abstract: In a sheath device for inserting a catheter into a patient's body, comprising a first sheath having a proximal end and a distal end, wherein when used as intended the distal end of the first sheath is provided for arrangement in the patient's body and the proximal end of the first sheath is provided for arrangement outside the patient's body, and wherein the first sheath comprises a tubular section and a sheath housing, which is disposed at the proximal end of the section and comprises a receiving channel for a catheter, according to the invention the tubular section is detachably held in a clamping element of the sheath housing in a non-positive manner so as to be able to easily shorten the tubular section.

Abstract: An improved splittable medical device introducer designed to introduce a medical device such as a lead or catheter, into a patient's vasculature without loss of blood or introduction of air is described. The introducer assembly is designed with a notch provided at the proximal end of the introducer housing. The notch, which may comprise a multitude of cross-sectional geometries, is designed to reduce the force required to separate the housing and the introducer sheath, thereby minimizing the possibility of unintentional dislodgement during separation. The notch also increases the repeatability and consistency of the amount of force required to separate the introducer housing and sheath.

Abstract: Embodiments of the present invention feature devices and methods for providing fluids to or venting gas from animals which feature a tube and a sheath in which the sheath covers the tube as the tube in inserted into the oral cavity and esophagus.

Abstract: A guide catheter assembly includes an outer sheath and an inner catheter disposed, at least partially, within the outer sheath. A tether tethers the inner catheter to the outer sheath. The guide catheter assembly has a first configuration where the tether is untensioned and distal ends of the outer sheath and inner catheter are pointing in a first direction. In a second configuration of the guide catheter assembly, the tether is tensioned, the distal end of the outer sheath is pointing in the first direction, the distal end of the inner catheter is pointing in a second direction that is different from the first direction, and the tether is oriented at an angle different from both the first direction and the second direction.

Abstract: A fluid transfer device for parenterally transferring fluid to and/or from a patient includes a housing, a needle, and an occlusion mechanism. The housing defines a fluid flow path and is couplable to a fluid reservoir. The needle has a distal end portion that is configured to be inserted into the patient and a proximal end portion that is configured to be fluidically coupled to the fluid flow path of the housing, and defines a lumen therebetween. The occlusion mechanism selectively controls a fluid flow between the needle and the fluid flow path. The occlusion mechanism includes an occlusion member that is movable between a first configuration where the lumen of the needle is obstructed during insertion into the patient and a second configuration where the lumen of the needle is unobstructed after the needle has been inserted into the patient allowing fluid transfer to or from the patient.

Abstract: A catheter assembly includes a catheter having on at least part of its surface a hydrophilic surface layer; a wetting fluid pouch including first and second layers of flexible material joined by a seal to form a sealed closure accommodating the wetting fluid; a receptacle forming a cavity for accommodation of the catheter and the wetting fluid pouch. The wetting fluid pouch is openable by compression of the wetting fluid pouch, thereby enabling the wetting fluid to be discharged into the receptacle. At least one of the first and second layers of the wetting fluid pouch extends beyond the seal of the sealed closure to form an attachment area outside the sealed closure, the wetting fluid pouch is attached to an inner surface of the receptacle, and the attachment being provided solely between the receptacle and the attachment area.

Abstract: A needle assembly including a positive flush mechanism for use with a vascular access port. The needle assembly is configured to supply fluid to the port and to provide a positive flush to overcome negative pressures in the port that can potentially occur during withdrawal of the needle from the port.

Abstract: A splittable sheath includes a splittable sheath body, a splittable sheath hub, and a valve element. The sheath body comprises a generally flexible tubular structure, a proximal end, and a distal end. The sheath body defines a longitudinal axis and is splittable into two halves along a pre-determined line generally parallel to the longitudinal axis. The sheath hub extends from the proximal end of the sheath body and defines a longitudinal axis generally aligned with the longitudinal axis of the sheath body. The sheath body and sheath hub form an inner cavity along their respective longitudinal axes. The valve element includes a resilient plate and a sealing element. The resilient plate includes a distal portion extending radially inwardly from a side of the inner cavity.

Abstract: A catheter sheath introducer comprises a hub and a tubular sheath having an inner lining with one or more dampers to improve retention of medical devices received or passed through the sheath without significantly increasing the force required to advance the medical device through the sheath. The dampers are made of a friction inducing material, for example, rubber-based materials, and configured as fingers, bumps or flaps that are unidirectional by means of an asymmetrical shape relative to a longitudinal axis of the sheath.

Abstract: The present disclosure relates to a sheath system for enabling access through an opening in the body of a patient is provided. The sheath system includes a dilation assembly having a radially expandable tubular sheath defining a lumen having a first cross-sectional area when in a non-expanded condition, and a handle assembly operatively coupled to a proximal end of tubular sheath, the handle assembly defining an aperture formed therein, and a first thread defined on the handle in the aperture thereof. The sheath system further includes an expansion assembly including a tubular member defining a lumen having a second cross-sectional area which is larger than the first cross-sectional area of the tubular sheath of the dilation assembly and having an outer surface defining a second thread, the second thread being arranged for engaging the first thread.

Abstract: A catheter assembly is provided comprising a catheter (3;530;630;730) including a catheter tube (32) and a connector (31;531) arranged in one end of the catheter tube. The catheter is preferably a urinary, hydrophilic catheter. Further, the assembly comprises a catheter receptacle (2;520;620;720) for accommodation of at least the catheter tube, wherein the receptacle is provided with an opening (22;622;722), said opening being connected to and closed by the connector (31;531) of the catheter. A method for producing such a catheter assembly is also provided.

Abstract: An improved catheter is provided for insertion into a trachea, blood vessel, bladder or urinary tract of a patient. The self cleaning catheter can be easily inserted and removed from the patient without retained, solid components falling into a patient's trachea, blood vessels, bladder, or urinary tract when the catheter is removed from the patient. The self cleaning catheter has a flexible cylindrical sleeve on the exterior of a cylindrical member that can be withdrawn to the interior of the catheter prior to removal from the patient's body. Alternatively, the catheter has a design allowing an end of the catheter to fold inward on itself prior to removal from the patient's body.

Abstract: A method for treating a brain tumor includes providing a surgical instrument having an inner member and an outer member. The outer member has a distal region forming a cutting window. The inner member is rotatably received within the outer member, and has a cutting tip that is exposed at the window. The cutting tip and the distal region of the outer member combine to define a cutting implement. An opening is created through the patient's skull to provide access to a brain tumor target site. The cutting implement is delivered through the opening to the target site. The cutting tip is placed into contact with the tumor and operated to cut the tumor. The target site is selectively aspirated to remove cut tumor tissue.

Abstract: A guidewire straightener assembly (50,200,300,400) including a guidewire tube (56,250,450) with a tubular passage therethrough having a first diameter and a distal end including a collar (58,260,462) having a second diameter larger than the first diameter. A guidewire (52,202,402) having a third diameter, smaller than the first diameter is disposed within the tubular passage. When a guidewire straightener (10,210,410) is affixed to the guidewire tube distal end in a first position with its biasing member in the tubular passage, the at least one finger (26,216,416) is biased by the tubular passage into frictional engagement with the guidewire; when disposed in a second position in the collar, the at least one finger is disposed away from frictional engagement with the guidewire.

Abstract: A needle protection device including a needle holder for operable coupling to an injection device and from which an injection needle projects, a blocking device which projects from the needle holder and is radially distanced from the injection needle, a needle protection element which can be moved into a first position and, from the first position, to a protection position in which it surrounds the injection needle, and which can be blocked from leaving the protection position by the blocking device, and a safety member arranged between the injection needle and the needle protection element in such a way that it can be displaced in relation to the injection needle, wherein the needle protection element includes an engagement element and the safety member includes a counter-element, the engagement element and counter-element mutually engaging when the needle protection element is moved into the first position, the needle protection element thereby entraining the safety member during movement of the needle prot

Abstract: A transseptal sheath defining a sheath lumen, a proximal end, and a distal end. A valve disposed within the sheath lumen proximate the distal end. The transseptal sheath defining at least one port along a portion of its periphery proximate the valve.

Abstract: An improved splittable medical device introducer designed to introduce a medical device such as a lead or catheter, into a patient's vasculature without loss of blood or introduction of air is described. The introducer assembly is designed with a notch provided at the proximal end of the introducer housing. The notch, which may comprise a multitude of cross-sectional geometries, is designed to reduce the force required to separate the housing and the introducer sheath, thereby minimizing the possibility of unintentional dislodgement during separation. The notch also increases the repeatability and consistency of the amount of force required to separate the introducer housing and sheath.

Abstract: A safety shield apparatus is provided that includes a housing that defines a cavity. A distal end of the housing includes a cover having a movable tab. A hub is disposed for movement within the housing and includes a needle having a distal end and a movable projection. The hub is biased between an extended position, such that the distal end of the needle is exposed and the movable projection is releasably disposed with the cavity, and a retracted position whereby the distal end of the needle is disposed within the housing. The movable tab is engageable with the movable projection to release the movable projection from the cavity to facilitate movement of the hub. The distal end of the housing may define a lip that is configured to capture the distal end of the needle. The hub can define an angled distal surface to orient the needle out of axial alignment with the housing and into capture with the lip.

Abstract: Devices and methods are configured to allow transcervical or subclavian access via the common carotid artery to the native aortic valve, and implantation of a prosthetic aortic valve into the heart. The devices and methods also provide means for embolic protection during such an endovascular aortic valve implantation procedure.

Abstract: A medical device for insertion into a body having a surface covered by a detachable cover. The cover may be detached from the surface and removed from the body while the device is inserted in the body. The device may be, for example, a catheter, cannula, drain, stent, pacemaker, or electrode.

Abstract: A needle insertion assistance device is provided to easily hold a needle device, which comprises a syringe and a needle having a needle wing and being attached to the syringe, in order to more reliably control the advancement of the needle during insertion of the needle into a targeted part of a human body for many medical purposes. One embodiment of the needle insertion assistance device may comprise a supporting plate, a base connected hingedly to a rear surface of the supporting plate, and a syringe holder securely affixed to a top surface of the base to slidably hold the syringe on the base and prevent the syringe from moving from side to side. This embodiment of the needle insertion assistance device may further include a needle blocker, a handle, and an angle adjusting assembly.

Abstract: It is an objective to provide a microneedle and a microneedle array formed from a self-dissolving base which can realize higher absorption efficiency and a higher pharmacological availability. A preparation 1 for body surface application has two sections divided in the insertion direction, namely, an acral portion 5 and a rear end portion 6. The acral portion 5 is a section including a body surface insertion end 2, and holds a target substance soluble in base. The rear end portion 6 is a section including a pressing end 3, and is formed mainly only from the base. The rear end portion 6 does not hold the target substance.

Abstract: A catheter insertion device is provided that comprises an elongate member defining a longitudinal axis. The elongate member is configured to be disposed on a catheter in one of a first configuration and a second configuration. The first configuration and the second configuration are different. The catheter insertion device is further configured to allow the elongate member to be selectively and repeatedly reconfigured between the first configuration and the second configuration while disposed on the catheter.

Abstract: Provided is a sheath assembly comprising a dilator hub and sheath hub, configured for coupling by a first movement that combines simultaneous longitudinal and radial movements, followed by a second movement that is substantially radial, and what is also provided is a sheath assembly that comprising a hemostasis valve with a W-slit.

Abstract: A ureteral access system includes a ureteral probe and a sheath. The ureteral probe has a proximal end, a tapered distal end portion, and an exterior wall with a longitudinal channel formed in the ureteral probe that communicates with a proximal port formed in the exterior wall and with a distal port formed in the exterior wall. The ureteral probe is provided with a split opening extending from the proximal port to the distal port. The longitudinal channel is sized to receive a guide wire that is insertable through a urethra and into a ureter. The sheath is sized for placement over the ureteral probe.

Abstract: A vascular guidewire system includes a tubular member which at least partially encloses a core wire. A first or distal gripper is connected with a handle to grip a proximal end portion of the tubular member. A second or proximal gripper is disposed in the handle and grips a proximal end portion of the core wire. A first or distal motor is disposed in the handle and is operable to rotate the core wire relative to the outer tubular member. A second or proximal motor is disposed in the handle and is operable to move the first or distal motor longitudinally relative to the handle to thereby move the core wire longitudinally relative to the outer tubular member. The second or proximal motor is disposed in a coaxial relationship with the first or distal motor. Rotational and/or longitudinally directed forces may be manually applied to the handle to move the tubular member and core wire relative to a patient's body.

Abstract: Some embodiments relate to a catheter system having a changeable or adjustable working length. The catheter system can comprise a proximal end, a distal end, and a first axial lumen configured to receive a guidewire formed through at least a portion of the catheter body. A first opening can be formed through a portion of the catheter body and be in communication with the first lumen. The sheath can be rotatable, axially movable, or otherwise changeable from at least a first position to a second position, wherein the sheath can substantially cover the first opening in the catheter body in the first position, and can substantially expose the first opening in the catheter body in the second position.

Abstract: An introducer assembly includes a valve having a first end and an opposite second end; a sheath fixedly secured to and extending axially from one of the first and second ends of the valve; a dilator extending through the valve and sheath; and a lock knob rotatable between locked and unlocked positions to releasably axially lock the tool relative to the sheath without causing corresponding rotation of the tool therewith.

Abstract: A transseptal sheath defining a sheath lumen, a proximal end, and a distal end. A valve disposed within the sheath lumen proximate the distal end. The transseptal sheath defining at least one port along a portion of its periphery proximate the valve.

Abstract: A hub for a sheath, catheter, or other tubular device includes a first hub portion including a first hub lumen sized for receiving a medical device therethrough, and a second hub portion including a second hub lumen, the second hub portion coupled to the first hub portion such that the first and second hub lumens are aligned with one another and the first and second hub portions are spaced apart from one another to define a gap. A valve is secured within the gap between the first and second hub portions that includes a valve passage therethrough, e.g., for accommodating receiving a medical device through the first and second hub lumens into the tubular device, while providing a substantially fluid tight seal.