A method and apparatus for safely and reliably accessing a subarachnoid space (SAS) or other target area of a patient is provided in which a tube having at least one lumen with a tissue puncture device therein is inserted into the patient near the tissue. The lumen has a suction port at one end adapted to suction the dura/arachnoid tissue away from the pia mater so that the tissue can be punctured to access the SAS space. The movement of the needle in the lumen is controlled by controlling a magnetic field. Tissue puncture devices for use alone or in connection with the apparatus are also provided.

Provided is an epidural device configured to inhibit or substantially or completely prevent further progression of an epidural needle upon entry of the needle into the epidural space. When the needle is inserted into the ligamentum of the patient's back, the device may be pressurized with fluid using the resistance of the dense ligament to maintain pressure. This pressurization may lock a pushing mechanism in place relative to the needle such that the pushing mechanism can be used to advance the needle. Once the epidural space is reached, the fluid (e.g., saline or air) enters the epidural space, and the release of pressure may cause the trigger mechanism to disengage from the sliding pusher, allowing the pusher to slide along the body of the construct. The device thus may provide the ability to detect the epidural space using pressure loss while preventing the needle from advancing into the dura once the space is reached. In a preferred aspect, the device may prevent premature triggering when there is a slow flow of fluid from the epidural

Apparatus for administering certain nerve blocks includes a sheath constructed from a flexible ultrasound echogenic material, a more rigid introducer/dilator for introducing the sheath into the patient, and an ultrasound echogenic catheter for inserting through the sheath once the distal end of the sheath is in place adjacent the nerve(s) to be blocked and the introducer/dilator has been withdrawn. The catheter has provisions at its proximal end for connecting to a source of local anesthetic. Methods for use of this apparatus are also described.

Tactile sensing devices, systems, and methods to image a target tissue location are disclosed. When force is applied to the tactile sensing device, voltage data is detected and visualized on a screen, indicating the target tissue location.

Tactile sensing devices, systems, and methods to image a target tissue location are disclosed. When force is applied to the tactile sensing device, voltage data is detected and visualized on a screen, indicating the target tissue location.

An ultrasound guided puncture device and an ultrasound guided puncture apparatus are disclosed. The ultrasound guided puncture device includes a puncture needle tube and an ultrasound transducer. One end of the puncture needle tube has a puncture needle head, and the ultrasonic transducer is housed in the puncture needle tube and extends to the puncture needle head. The ultrasonic transducer includes multiple ultrasonic array elements for transmitting and receiving ultrasonic waves, and the multiple ultrasonic array elements are arranged at the puncture needle head. In actual use, electronic scanning imaging is performed through the multiple ultrasound array elements, hence a wide imaging range. It can effectively recognize the structure of the tissue in front of the puncture needle head, thereby facilitating the planning of the best puncture path.

A guide wire for guiding a dilator to be inserted into a living body includes: a flexible elongated shaft portion; a puncture portion at a distal end portion of the shaft portion to form a hole in biological tissue; and an elastically deformable cover portion covering the puncture portion. The cover portion includes a sparse pitch portion that has a wire member wound in a spiral shape and axially contractible, and a distal end cover located on a distal end side of the sparse pitch portion and covering at least a part of the puncture portion. The puncture portion includes a first contact portion. The distal end cover includes a second contact portion configured to contact the first contact portion from a proximal end side, so that relative axial movement of the first and second contact portions is restricted by the first contact portion contacting the second contact portion.

A predictive needle insertion device including a needle having a proximal needle end and a distal needle end is disclosed. A probe is movably coupled to the needle such that the probe is capable of extending beyond the distal needle end. An actuator is operable to actuate the probe to apply a mechanical force to a tissue composition. A force sensor and position sensor are configured to determine a resistive force of the tissue composition and an insertion distance of the probe, respectively. A processor is communicatively coupled to the force sensor and the position sensor, and is configured to receive sensor data indicative of a mechanical response to the mechanical force and the insertion distance of the probe, and to implement a predictive model that, based on the sensor data, predicts a forward distance to a remote position of a remote tissue portion of the tissue composition.

A method for delivering drugs into cystic fluid, the method comprising injecting a drug delivery system (DDS) into a cystic fluid space at an injection site, the DDS comprising at least one therapeutic agent encapsulated in biodegradable polymers, applying ultrasonic energy proximal to the injection site, and controlling the at least one of buoyancy, delivery location, mixing, and dispersion of the DDS to a targeted area using the ultrasonic energy.

An introducer assembly includes an elongate sheath sized for insertion into a blood vessel of a patient and a hub. The hub can be coupled to a proximal portion of the sheath and can include a first hub portion and a second hub portion. The hub can include various features to facilitate breaking apart or separating the introducer assembly from a patient. For example, the first hub portion can have a first notch which can facilitate breaking, splitting, or fracturing the hub. The second hub portion can partially surround the first hub portion and can include two wings and an opening disposed above the first notch. The first hub portion can be formed from a first material and second hub portion can be formed from a second material. In some embodiments, the second material can be stiffer than the first material to facilitate fracturing the hub.