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.

The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to devices and methods to guide delivery devices and instruments. Exemplary instrument guides, including for endoscopes as delivery devices for cryogen delivery catheters and to guide cryogen decompression tubes as instruments, and methods for use of such instrument guides for use in body lumens at treatment sites, are disclosed.

A trocar assembly includes a deployment assembly including: a cannula having an open end; a trocar disposed in the cannula and having a spear end; and an energizer acting on the trocar and configured to force the trocar from a safety position where the spear end is entirely within the cannula to an extended position where the spear end extends out of the open end; a key releasably coupled with the trocar and extending through the cannula such that the key holds the trocar in the safety position when coupled with the trocar in the safety position and uncoupling the key from the trocar allows the energizer to force the trocar from the safety position to the extended position; and a sheath assembly removably coupled to the deployment assembly, the sheath assembly including a sheath that covers the open end of the cannula.

A medical device may include an introducer sheath, having a distal and a proximal end and a lumen extending from the distal end to the proximal end. The introducer sheath may also include a tab formed at the distal end and extending distal to the lumen, and a frangible portion extending between the distal end and the proximal end.

An introducer sheath is disclosed configured to be percutaneously inserted into a biological lumen and can shorten the time required for hemostasis at a wound site and lessen the physical burden on the patient after withdrawal of the introducer sheath. The introducer sheath includes a catheter body to be percutaneously introduced into a biological lumen, a hub configured to be connected to the proximal side of the catheter body, and a drug part that has a hemostatic agent capable of treating a wound site in biological tissue. The drug part is disposed at the proximal side of an outer surface of the catheter body.

A system includes a console assembly, a trocar assembly operably coupled to the console assembly, a camera assembly operably coupled to the console assembly having a stereoscopic camera assembly, and at least one rotational positional sensor configured to detect rotation of the stereoscopic camera assembly about at least one of a pitch axis or a yaw axis. The console assembly includes a first actuator and a first actuator pulley operable coupled to the first actuator. The trocar assembly includes a trocar having an inner and outer diameter, and a seal sub-assembly comprising at least one seal and the seal sub-assembly operably coupled to the trocar. The camera assembly includes a camera support tube having a distal and a proximal end, the stereoscopic camera operably coupled to the distal end of the support tube and a first and second camera module having a first and second optical axis.

A system and method for performing an automated medical procedure is provided. The method may include positioning an effector unit over a patient, acquiring medical imagery of the patient, analyzing the medical imagery using at least one processor to determine a location, and positioning a subunit of the effector unit to perform the automated medical procedure at the location. The automated medical procedure may be performed using at least one of a plurality of subunits of the effector unit. The automated medical procedure may be a body fluid aspiration procedure and one of the plurality of subunits of the effector unit may include a fluid aspirating cannula. Multiple subunits may be sequentially used to perform the procedure.

Shaped liver biopsy sheaths and methods for transfemoral transcaval liver access are disclosed.

A percutaneous drainage device for draining a fluid collection located under the skin of a patient is disclosed. The percutaneous drainage device includes a penetration component slidably engaged with a cannula. The penetration component has a piercing end adapted to penetrate tissue of a patient and introduce an open end of the cannula to a subcutaneous fluid collection site. The cannula may be held in place in the patient by an anchoring means. The cannula provides a passage through which a fluid collection may be drained from a patient. The cannula may be in fluid communication with a collection vessel, which collects fluid collection transported away from the subcutaneous fluid collection site.

A method for accessing a mitral valve that includes forming an incision and inserting a first catheter comprising a lumen. The first catheter is adapted to be directed towards a left atrium and the first catheter has a working length of approximately 15 cm to approximately 52 cm. The method further includes utilizing a trocar in the first catheter to penetrate a pericardium and utilizing the trocar to penetrate the left atrium. The method further includes accessing the mitral valve from an antegrade direction.