A cleaner device is adapted to clean a blood vessel sealer device. The cleaner device includes a series of brushes that can move relative to blood vessel sealer device to scrub and clean the blood vessel sealer device when coupled to the cleaner device. The brushes can be made of any material that is adapted to clean the blood vessel sealer device. The cleaner device can also be motorized to facilitate cleaning of the blood vessel sealer device.

A rear-viewable port closure device is provided having a cannular housing, a suture placement assembly, a scope channel defined through the cannular housing for receiving a lens end of a surgical scope, a reflector at a tip region of the of a distal portion of the cannular housing, and an obscured light source, which, when an illumination portion of the light source is activated, provides a reflected rear view to the lens end that is viewable by the surgical scope. The device can be arranged for percutaneous insertion through a defect to an interior cavity of a body, and the reflector can be longitudinally translatable within the interior cavity for adjusting a span of the rear view and a breath of a scope view. A method for rear-viewable, in vivo, suture placement and port closure using the device can include evaluating suture placement via the surgical scope.

A medical device may include an outer assembly having a first shaft, a first lumen extending through the first shaft, and an atraumatic first tip removably coupled to a distal end of the first shaft; an inner assembly configured to extend through the first lumen of the outer assembly, the inner assembly including a second shaft, a second lumen extending through the second shaft, and a second tip removably coupled to a distal end of the second shaft, the second tip being configured to pierce tissue; and a plug assembly configured to extend through the second lumen of the inner assembly, the plug assembly including a third shaft and a plug removably coupled to a distal end of the third shaft.

A method of suturing a trocar path incision in a tissue of a patient with an obturator includes inserting the obturator through the tissue such that a shaft of the obturator extends through a tissue opening about the trocar path incision and a distal tip of the obturator is positioned within a cavity of the patient. The method also includes directing the suture via a suturing feature with the obturator inserted through the tissue in order to direct the suture relative to the tissue. Furthermore, the method includes closing the tissue opening about the trocar path incision with the suture.

A tissue access and closure system for piercing through biological tissue and providing access to internal structures; particularly, intra-abdominal structures, and closing an opening in the tissue. The system includes a suture passer sub-system that is adapted to releasably secure sutures and insert the sutures into and through the tissue, and a suture guide sub-system that is adapted to cooperate with the suture passer sub-system, the cooperation including engaging and retaining sutures releasably secured to the suture passer sub-system after the sutures are inserted into and through the tissue with the suture passer sub-system, the suture passer sub-system and sutures are advanced into the suture guide sub-system, and the suture passer sub-system and sutures are subsequently withdrawn out of the suture guide sub-system.

An access assembly includes an instrument valve housing defining a cavity, and a valve assembly. The valve assembly includes a flange seal member, a seal assembly, a centering mechanism, and a retainer frame assembly. The flange seal member includes an arcuate portion configured to adjustably engage first and second surfaces of the instrument valve housing in a sealing relation. The centering mechanism is configured to bias the valve assembly towards a generally centered position within the cavity. The centering mechanism includes a plurality of coils including inner coil portions operatively secured with the seal assembly, and outer coil portions configured to engage the first surface of the instrument valve housing. The retainer frame assembly includes first and second members. The inner coil portion of the centering mechanism is disposed between seal assembly and the second member of the retainer frame assembly.

Multiple vascular wall penetrations are formed and sealed in a single blood vessel, typically a vein, for performing cardiac and other catheter-based procedures. Access sheaths are placed in two or more tissue tracts each having a vascular wall penetration at a distal end and into a lumen of the blood vessel. A catheter is advanced though each of the access sheaths to perform a therapeutic or diagnostic procedure. A vascular closure device is introduced through each access sheath, typically sequentially, and an occlusion element at a distal end of the device is deployed against an inner wall of the blood vessel in a manner so that the adjacent access sheath does not interfere or overlap with the deployed occlusion element. The vascular penetration at the distal end in that tissue tract may then be sealed prior to using another vascular closure device to seal a caudally adjacent vascular wall penetration.

Systems and methods are disclosed that include inserting an insertion dilator into an insertion sheath such that the insertion dilator extends out from a distal end of an insertion sheath, penetrating patient skin with the insertion dilator to push the insertion sheath through the skin to reach a particular depth, removing the insertion dilator from the insertion sheath, inserting a delivery system into the insertion sheath, and deploying a lead by advancing the lead through an insertion tip of the delivery system.

A tissue closure device to assist in retrieving a suture during a suturing procedure, the device including an elongated body having a proximal end, a distal end, and a lumen extending axially through the elongated body. The device further including an actuator rod at least partially extending through the lumen of the elongated body to actuate a plurality of wings and a plurality of shields attached to a distal end of the elongated body. The elongated body including at least one needle guide lumen with an opening an exit, the at least one needle guide lumen traversing the elongated body at an angle with respect to a central axis of the elongated body to guide a suture grasper to an enclosed suture retrieval cavity.

An implant for use in a lung access procedure to aid in preventing pneumothorax includes a tubular body that has a lumen, a proximal end, and a distal end portion that terminates at a distal end. The tubular body has a longitudinal axis and has a side wall that radially surrounds the lumen. The side wall has an exterior surface. An anchor member is connected to the tubular body, wherein the anchor member is movable relative to the tubular body from a collapsed state to a deployed state. At least one suture is connected to the tubular body, wherein the at least one suture extends in a proximal direction from the proximal end of the tubular body.