The present disclosure relates to a biliary drainage device for negative pressure-retrogradeinstallation of percutaneous transhepatic biliary drainage, and the biliary drainage device for negative pressure-retrogradeinstallation of percutaneous transhepatic biliary drainage (NR-PTBD) according to the present disclosure is a biliary drainage device for negative pressure-retrogradeinstallation of percutaneous transhepatic biliary drainage (NR-PTBD) being performed in a pancreaticoduodenectomy process, the biliary drainage device including a flexible tube having a suction port formed at one side end and mounted on an afferent loop in order to suck bile; and a guide member installed at the other end of the tube so that the tube inserted through a cut part of a biliary tract can penetrate a liver tissue.

An apparatus includes a slotted tube having a plurality of first slots and a plurality of second slots; an imager disposed in the slotted tube, the imager having a plurality of corners arranged in the plurality of first slots; and a plurality of light guides disposed in the plurality of second slots.

A method for creating a tract for percutaneous endoscopic guided gastrointestinal tube creation including the steps of providing a puncture wire having a sharp tissue penetrating tip shielded in a sheath, the puncture wire slidable within the sheath and releasably lockingly engaged thereto; inserting the puncture wire and sheath in a first direction through a working channel of an endoscope to exit the channel of the endoscope, then releasing the puncture wire from the sheath and advancing the puncture wire from the sheath while visualizing via the endoscope the position of the puncture wire, and further advancing the puncture wire through the visceral wall and then the abdominal wall of a patient. Subsequent methods to position a percutaneous gastrointestinal catheter after initial wire puncture are described.

The present invention contemplates devices and methods to administer nutritional compositions and/or therapeutic drugs directly into a portal venous system. For example, total parenteral nutrition therapy may be administered directly into the hepatic portal venous system thus circumventing known side effects of conventional parenteral administration. Alternatively, hepatic diseases and disorders may be treated using locally administered therapeutic drugs. Devices capable of direct portal venous system administration include, but are not limited to, a direct portal access catheter or a transjugular access catheter.

Disclosed are access devices that can be used to safely guide instruments, such as EP ablation catheters, to a therapy site such one within the pericardial space of the heart. The access devices include integrated visualization, illumination, stabilization, and safety features in a single platform that can, for example, more safely and efficiently identify and ablate several ventricular tachycardia (VT) locations on the left ventricle of the heart.

A device and method is provided to gain access to interior body regions. The system includes a safety needle assembly, a stylet assembly, a blade assembly, an obturator assembly, and a dilator assembly. The safety needle assembly or stylet assembly accesses an interior body region, after which the blade assembly expands the pathway created by the safety needle assembly or stylet assembly. The obturator then further expands the pathway and delivers the dilator assembly to the desired location. The safety needle assembly, obturator assembly, and blade assembly are removed, leaving the dilator assembly in place for future procedures.

A device comprises a retractable shaft; a shaft biasing spring; and an actuator button. The retractable shaft is biased away from the actuator button by the shaft biasing spring. A magnetic attracting force is created between the retractable shaft and the actuator button upon actuation of the actuator button. Before actuation, a distance between the actuator button and the retractable shaft is great enough that the magnetic attracting force is less than a biasing force of the shaft biasing spring such that the retractable shaft is biased away from the actuator button. Upon actuation, the actuator button is depressed to make the distance between the actuator button and the retractable shaft sufficiently small such that the magnetic attracting force is greater than the biasing force of the shaft biasing spring to allow the retractable shaft to be biased towards the actuator button.

The present disclosure is a method and apparatus to prepare a tissue tract having a handle member with a centerline, and a scalpel member fixedly attached to the handle member having a blunt tip, wherein the handle member has a first side positioned at a first positive angle relative to the centerline, and a second side opposite the first side positioned at a second positive angle relative to the centerline.

A novel neural injection system and related methods are herein disclosed. Various embodiments of an embodiment of a neural injection system of the present invention provide for at least one benefit of enhanced injection characteristics, increased operational efficiency, reduced cost per unit, reduced incidence of injury through intraneural/intravascular injection, reduced incidence of injury through pricking/piercing, and/or the like.

A sheath for inserting a cannula of an endoscope into a cavity of a patient is described herein. The sheath comprises an introducer, a support channel and a pull-tab. The introducer has an open end being sized and shaped to accept a tip of the cannula and a tip end adapted to be deflected in an outward direction by the tip of the cannula passing into the introducer. The support channel is adapted to receive a shaft of the cannula and guide the tip of the cannula into the introducer; and the pull provides a finger hold for a user to grasp the sheath. In some aspects, the introducer includes a plurality of extending segments having a normally closed position defining a conical exterior shape of the introducer, with the plurality of tapered segments adapted to be separated by the tip of the cannula passing through the introducer.