A cannula and instrument guide assembly includes a cannula with a proximal portion and a tube. An instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to a distal end of the tube. The proximal portion of the cannula has an insufflation port. The instrument guide provides at least one interior passageway to support a shaft of a surgical instrument that passes through the instrument guide. One or more channels on an outer surface of the instrument guide provide a passage for insufflation gas received from the insufflation port to the distal end of the tube. The one or more channels have a first cross-sectional area at a proximal end and a second, larger cross-sectional area at a distal end. The one or more channels may have the first cross-sectional area along a majority of the length of the channels.

A medical valve can include a housing that includes a sidewall and defines a chamber. The medical valve can include a septum coupled to the housing. The septum can include a proximal surface and a selectively openable closure positioned within the chamber. The medical valve can further include a plurality of projections that extend away from the sidewall and are configured to contact the proximal surface of the septum to oppose movement of a restricted portion of the septum in a proximal direction such that an aspiration cracking pressure required to open the closure to permit fluid flow through the septum in the proximal direction exceeds an infusion cracking pressure required to open the closure to permit fluid flow through the septum in the distal direction.

Aspects herein relate to a medical device for providing a leak-resistant seal for use in a vascular access device. In various embodiments, a device for vascular access hemostasis is included. The device can include an enclosure configured to at least partially receive a medical device, the enclosure defining a cavity. The enclosure can have a first seal portion and a second seal portion, the cavity disposed between the first seal portion and the second seal portion. The enclosure can include the second seal portion comprising a split, septum seal. The enclosure can include a barrel in structural communication with the second seal portion. The device can include a constriction ring disposed around the barrel, the constriction ring interfacing with the second seal portion to limit movement of the split, septum seal.

A urological device includes a valve retained in a urinary catheter. The urinary catheter has a first portion that is insertable into a urethra and a second portion adapted to remain outside of the urethra when the first portion is inserted into the urethra. The valve has a closed configuration adapted to prevent urine from exiting the urinary catheter and an open configuration adapted to allow urine to flow through and exit the urinary catheter. The valve is adapted to move from the closed configuration to the open configuration in response to a hydrodynamic pressure of at least 750 mm H2O applied to the valve for at least 5 seconds.

A urological device includes a valve retained in a urinary catheter. The urinary catheter has a first portion that is insertable into a urethra and a second portion adapted to remain outside of the urethra when the first portion is inserted into the urethra. The valve has a closed configuration adapted to prevent urine from exiting the urinary catheter and an open configuration adapted to allow urine to flow through and exit the urinary catheter. The valve is adapted to move from the closed configuration to the open configuration in response to a hydrodynamic pressure of at least 750 mm H2O applied to the valve for at least 5 seconds.

An expandable sheath assembly includes a support body extending from a proximal end to a distal end. A guide rod is interconnected to the support body and extends between the ends along an axis. A dilator extends from the guide rod for insertion into a body vessel, and a hub is releasable connected to the distal end of the support body. A distal sheath overlays the dilator, and a hemostatic valve is slidably disposed along the axis. A proximal sheath extends from the hemostatic valve and is disposed in surrounding and coaxial relationship with the guide rod. The proximal sheath is concurrently slidable with the hemostatic valve along axis to advance the proximal sheath through the hub and interleave the proximal sheath between the dilator and the distal sheath for lifting the distal sheath from the dilator and effectuating an expansion of the body vessel.

An expandable sheath assembly includes a support body extending from a proximal end to a distal end. A guide rod is interconnected to the support body and extends between the ends along an axis. A dilator extends from the guide rod for insertion into a body vessel, and a hub is releasable connected to the distal end of the support body. A distal sheath overlays the dilator, and a hemostatic valve is slidably disposed along the axis. A proximal sheath extends from the hemostatic valve and is disposed in surrounding and coaxial relationship with the guide rod. The proximal sheath is concurrently slidable with the hemostatic valve along axis to advance the proximal sheath through the hub and interleave the proximal sheath between the dilator and the distal sheath for lifting the distal sheath from the dilator and effectuating an expansion of the body vessel.

Embodiments of the present disclosure provide an introducer device for introducing a medical device into a patient's vasculature. In one embodiment, the introducer device comprises a housing, a distal sheath adapted to be inserted into a patient's vasculature with the housing positioned outside of the patient's vasculature, a hemostatic seal mounted within the housing, and a tube positioned within the housing and movable longitudinally relative to the hemostatic seal between a proximal position and a distal position. In the proximal position, a distal end of the tube is positioned proximal to the hemostatic seal with the hemostatic seal closed. In the distal position, the distal end of the tube extends through the hemostatic seal and permits the medical device to be inserted through the housing and into the patient's vasculature without contacting the hemostatic seal.

A valve for sealing the hub of a sheath assembly is provided. The valve includes a valve body having a solid thickness extending between a proximal surface and a distal surface. A bisecting slot extends across the proximal surface of the valve body and terminates at a depth less than the thickness of the valve body such that a portion of the valve body distally of the slot defines a bridge extending between opposed halves of the valve body such that the distal surface of the valve body is substantially continuous and a central portion of the proximal surface of the valve body is concave and defines a concave proximal portion.

A hemostasis device configured to apply a compressive force to a puncture site of a patient's vessel, such as an artery of the hand, wrist, or foot, is disclosed. The hemostasis device may comprise a plurality of bands used to position and maintain a compression member over the puncture site. The hemostasis device may also comprise an inflation port in fluid communication with an inflatable bladder.