A puncture needle assembly (1000) and a puncture system (100) are provided. The puncture needle assembly (1000) includes a needle holder (1100) and a needle (1200). The needle holder (1100) comprises a channel axially extending therethrough. The channel has a sidewall, at least a part of which is provided by a conductor (1110). The needle (1200) has a proximal end portion extending in the channel and electrically connected to the conductor (1110). The puncture system (100) includes the puncture needle assembly (1000) and a dilator (2000). The dilator (2000) includes a dilation catheter (2100) and an optional conductive biasing member (2200) disposed on the dilation catheter (2100). Even when a distal end of the needle (1200) is hidden in the dilation catheter (2100), the conductive biasing member (2200) can still establish an electrical connection between the needle and the blood outside thereof. The puncture needle assembly (1000) and the puncture system (100) have the advantages of ease of use and high reliability.

A cannula is provided that includes a head portion that defines a proximal opening sized to receive one or more surgical instruments; an elongated inner tube rigidly fastened to the head portion defines an elongated conduit; a surgical instrument can be inserted within the conduit; an elongated overtube rigidly fastened to the head portion is coaxially aligned with the inner tube and extends about a portion of the inner tube; an inner wall of the overtube is spaced apart from an outer wall of the inner tube; sensors are disposed on the overtube to provide an indication of forces applied to the outer wall of the overtube in a direction generally transverse to the longitudinal dimension of the overtube.

This document relates to the apparatus and methods used in the minimally invasive creation of arteriovenous fistula (AVF). In particular, the invention relates to the creation of an AVF using catheters and an alignment methodology that is based upon detection of asymmetric electric fields. The invention finds particular application in vascular access (VA) in the hemodialysis (HD) population.

A skin marking device is provided. The skin marking device has an outer frame that can be fitted over an ultrasound probe. The ultrasound probe can be used to identify a location for a needle or other medical device. Once the location is identified, the probe may be removed while keeping the frame in place. A skin-marking tool may then be fitted with/into the frame to mark the skin, thereby identifying the precise location for action.

In the present invention, a system and associated method is provided for image-guided navigation during a medical procedure. The system includes a movable gantry having an X-ray source, an X-ray detector and a laser disposed on the detector offset from the area of the detector receiving the beam from the source, a movable table and a system controller operably connected to the gantry, the X-ray source, the X-ray detector, the laser and the table. In the method, the controller determines an optimal trajectory for the insertion of an interventional device into the body to intersect the target, positions the gantry to locate the laser at a point where a laser beam is emitted from the laser along the optimal trajectory outside of the X-ray beam, and takes additional images during the procedure to show the position of the interventional device in the body as compared with the optimal trajectory.

A detection system can include a device, a circuit, and at least one indicator. The device can include polymer needle having a distal end and a proximal end. A needle lumen can be extended along a longitudinal axis of the polymer needle. The distal end can include an insertion tip. An elongate sleeve can include a first end and a second end. The polymer needle can be located within an inner bore of the elongate sleeve. The insertion tip of the polymer needle can be disposed at a distance from the elongate sleeve. A first electrode can be coupled to the device and a second electrode can be electrically isolated from the first electrode. The circuit can be configured to provide a signal based on an electrical characteristic between the first electrode and the second electrode. At least one indicator can be communicatively coupled to the circuit and configured to provide an output based on the signal.

In the biopsy system according to one embodiment, the needle tube of the treatment tool has the minor axis of the flattened portion and the bending plane of the bending portion parallel to each other. Accordingly, the needle tube is easily bent in the bending direction of the bending portion, and even in an endoscope that has few bendable directions and is bendable, for example, in only two directions (e.g., up and down), the bending operation of the bending portion is not easily hindered. As a result, even after the treatment tool for endoscopes is inserted into the endoscope, the bending portion can be easily bent with a predetermined bending amount, and a procedure can be easily performed.

A surgical device is provided. The surgical device includes a housing adapted for mounting on a finger of a user; and at least one guide tube attached along a length of the housing. The guide tube is configured for guiding a tissue repair implant from a proximal opening to a distal opening thereof.

A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole.

Devices, systems, and methods are described including an invasive medical device with a magnetic region. The magnetic region can include a discontinuity in the magnetic region providing a diameter transition, a plurality of spaced magnetic regions can be provided or the magnetic regions can be encoded with data. Systems and methods are described that include ways to read the data.