A torque device useable in some embodiments in an endovascular procedure. The torque device is connectable to catheter end to provide an interlocked torque-device/catheter that can be mounted to, and slid over, a guidewire as a unit. A spring arm extends from a main body section of the torque device and can be depressed into the main body section so that the spring arm and main body section can be secured in position with respect to each other. In one embodiment, the depressed spring arm and main body section are mountable to an end of a catheter to secure them in position and to the catheter. Alternatively, the torque device can be mounted to a guide wire by depressing the spring arm, and releasing the spring arm can cause torque device to grip the guide wire and allow the operator to turn or move the torque device and gripped guide wire. Some embodiments provide a torque device through which material may be injected into a catheter to which the torque device is connected.

An access port can be connected to a catheter and includes a port body including a liquid storage portion and a diaphragm body covering the liquid storage portion. The port body includes a connection passage connected to the liquid storage portion and allows the liquid storage portion to communicate with the inside of the catheter. In the cross-section along the axial direction of the connection passage at the connection position where the connection passage is connected to the liquid storage portion, the length in the direction perpendicular to the axial direction between the surface of the diaphragm body on the side opposite to the liquid storage portion and the inner surface of the liquid storage portion gradually decreases as it proceeds away from the connection position in the inclined region exceeding half of the liquid storage portion along the axial direction.

Embodiments disclosed herein relate to an infusion cannula for infusion/venting of fluids to/from the eye to control intraocular pressure. The infusion cannula includes a tubular body with a tubular inlet located at a proximal end of the tubular body and a tubular outlet located at a distal end of the tubular body. The tubular outlet is aligned with a first longitudinal axis and configured to extend through a septum of a valved cannula hub. The infusion cannula includes a retention piece extending from or coupled to the tubular body. The retention piece has an annular body surrounding the tubular body at the distal end of the tubular body and configured to be coupled to the valved cannula hub. An inner surface of the annular body has a profile configured to form a snap fit with an overhang formed along an outer surface of the valved cannula hub.

A vascular access system comprising a sheath, a slitted sleeve, and a sealing portion of the slitted sleeve. The slitted sleeve comprises a tubular sleeve body having a longitudinal slit along its length, wherein the slitted sleeve is adapted to receive a first portion of a medical device therein. The longitudinal slit closes, but does not seal, after the first portion of the medical device is inserted therein. The sealing portion of the slitted sleeve is configured to fill a gap and form a seal between an inner surface of the sheath and a portion of the first portion of the medical device disposed in the sheath when the sheath is inserted in the blood vessel and the slitted sleeve is inserted into the sheath lumen. A vascular access device accessory and a method for inserting it into a sheath are also provided.

A catheter may include an elongate body extending from a proximal end to a distal end and defining a lumen; a push member mechanically coupled to the proximal end of the elongate body; and a slidable push grip disposed about an outer perimeter of the push member. The slidable push grip is controllably engageable with the push member. When the slidable push grip is in an engaged state with the push member, the slidable push grip transmits an axial force to the push member to enable the push member to transmit the axial force to the elongate body. When the slidable push grip is in a disengaged state with the push member, the slidable push grip is movable axially in at least one direction along a length of the push member while transmitting substantially no axial force to the push member.

An elongated medical catheter body, which may constitute an introducer sheath includes: a catheter body; a hub fixed to a proximal portion of the catheter body; and a support member connected to the hub and configured to cover of the proximal portion of the catheter body. The catheter body includes a groove on the outer surface of the catheter body, and the support member is disposed so as to partially cover the groove. The support member includes a drug part having a drug solution, and a partition wall portion is located between the drug part and the groove, and the partition wall portion is configured to make the drug part communicate with the groove portion upon being broken by pressure or by causing damage.

An example catheter assembly includes a first catheter body portion defining a first lumen and a plurality of sidewall openings open to the lumen and configured to at least one of introduce fluid into a patient or remove fluid from the patient. The catheter assembly further includes a second catheter body portion defining a second lumen, a first cuff proximal to a distal end of the first catheter body portion, a second cuff distal to a proximal end of the second catheter body portion, and a connector configured to mechanically connect the first and second catheter body portions between the first and second cuffs and to fluidically connect the first and second lumens. A distance between the first and second cuffs is modifiable by at least modifying one of a length of the first catheter body portion or a length of the second catheter body portion.

An indwelling pleural catheter system comprises an indwelling catheter device (2) comprising a catheter tube (7) with a fenestrated distal end (7A) configured to reside in the pleural cavity of a subject and a connection hub (10) fluidically coupled to a proximal end (7B) of the catheter tube, a skin anchoring member (3) to anchor the connection hub (10) to the skin of the subject, and optionally a detachable ambulatory suction module (4) configured for detachable attachment to the connection hub (10). The suction module (4) comprises a fluid inlet (19) configured for fluidic coupling to the catheter tube (7) through the connection hub (10) and a fluid outlet (20) configured for detachable fluidic coupling to a pleural fluid drainage system (5) to drain pleural fluid through the detachable ambulatory suction module. The detachable ambulatory suction module is configured to exert a negative pressure in the catheter tube upon detachment of the pleural fluid drainage system from the suction module. Treatment of pleural effusion using the system of the invention is described. An indwelling catheter system for draining fluid from the peritoneal cavity, and methods of treating ascites, is also described.

The disclosure relates to a subcutaneously implanted port device for establishing access to the vascular system of a patient requiring multiple blood treatments over an extended period of time. The systems, devices and methods disclosed herein may reduce miscannulation, promote intra-session hemostasis, and decrease the incidence of bacteremia and sepsis among other improvements and advantages. The devices include a port with a tapered seat for receiving an access tube, the first tapered seat having a proximal portion, a distal portion, and a conical section extending between the proximal portion and the distal portion; and an interface surface configured to engage a blood vessel or a vascular access catheter. The proximal portion of the tapered seat is configured to receive the access tube therethrough, and the tapered seat creates a mismatch fit with a diameter of the access tube when in use for an increase in flow during treatment.

An instrument advancement device may include a housing, which may include a distal end and a proximal end. An instrument, such as a vascular access instrument configured to enter vasculature of a patient, may be disposed within the housing. The instrument advancement device may include an advancement element. In response to movement of the advancement element with respect to the housing, the instrument may be configured to advance distal to the distal end of the housing. The housing or a distal end of the housing may include a compressible portion proximate a chamber configured to hold blood. In response to compression of the compressible portion, the housing may be configured to dispense blood distally from the chamber through the distal end of the housing.