A skin surface indwelling device for guiding punctures includes: an indwelling tube (13) having an inside tunnel (P) substantially extending along the longitudinal direction of the indwelling tube (13), the tunnel (P) is used for guiding needle (N), the indwelling tube (13) has a proximal end positioned above the skin surface (S) and a distal end positioned under the skin surface (S) in indwelling state; a support (11) having a bottom surface on its bottom that directly or indirectly contacts with the skin surface (S), the support (11) supports and fixates the indwelling tube (13); and a sealing elements (141,142) configured to seal the tunnel (P). The skin surface indwelling device for guiding punctures can shorten the time of establishing a puncture tunnel in the buttonhole puncture method, and help to build the puncture tunnel. In addition, the skin surface indwelling device can also guide the puncture needle (N) when puncturing, and protect the immature puncture tunnel.

In some examples, a medical assembly includes a catheter and a delivery-assist tool. The catheter includes an elongated body comprising a proximal body portion and a distal body portion and defining a body inner lumen; and an expandable member located at the distal body portion, the expandable member defining an expandable member inner lumen. The delivery-assist tool includes a support structure configured to extend through the body inner lumen and the expandable member inner lumen of the catheter; and a flexible cover coupled to a distal portion of the support structure, wherein the flexible cover is configured to facilitate compression and retention of the expandable member in a delivery configuration while being advanced through a delivery sheath and while the support structure extends through the body inner lumen and the expandable member inner lumen.

In some examples, a medical assembly includes a catheter and a delivery-assist tool. The catheter includes an elongated body comprising a proximal body portion and a distal body portion and defining a body inner lumen; and an expandable member located at the distal body portion, the expandable member defining an expandable member inner lumen. The delivery-assist tool includes a support structure configured to extend through the body inner lumen and the expandable member inner lumen of the catheter; and a flexible cover coupled to a distal portion of the support structure, wherein the flexible cover is configured to facilitate compression and retention of the expandable member in a delivery configuration while being advanced through a delivery sheath and while the support structure extends through the body inner lumen and the expandable member inner lumen.

An extravascular system is provided which includes a catheter adapter having a blood control septum configured to control flow of a fluid through the catheter adapter, the catheter adapter further having a catheter configured for intravenous insertion. The extravascular system further includes a septum activator slidably inserted within the catheter adapter and configured for advancement through the blood control septum to provide a fluid pathway through the blood control septum. Further still, the extravascular system includes an external safety mechanism comprising a needle hub and a needle shield interconnected via a tether, wherein the needle shield includes a safety clip that is configured to retain a sharpened end of the introducer needle within the needle shield. Some implementations further comprise an access port forming a portion of the catheter adapter and providing selective access to the lumen of the catheter adapter.

A hemostasis valve assembly for use in a medical device. The hemostasis valve assembly may include a main body portion defining an internal cavity, a seal cartridge disposed within the internal cavity, and a low pressure valve assembly positioned within the internal cavity adjacent to the seal cartridge. The low pressure valve assembly may include a first valve member having a first valve body and a second valve member having second valve body. A portion of a distal side of the first valve member may abut at least a portion of a proximal side of the second valve member.

A hemostasis valve assembly for use in a medical device. The hemostasis valve assembly may include a main body portion defining an internal cavity, a seal cartridge disposed within the internal cavity, and a low pressure valve assembly positioned within the internal cavity adjacent to the seal cartridge. The low pressure valve assembly may include a first valve member having a first valve body and a second valve member having second valve body. A portion of a distal side of the first valve member may abut at least a portion of a proximal side of the second valve member.

Disclosed herein is a system for treatment including a sheath introducer and a catheter or other device. The system can have a floating hemostasis valve comprising a seal through which the shaft of the catheter can extend. The floating hemostasis valve can have elastic bellows which can allow the seal to move orthogonal to the longitudinal axis of the sheath introducer in response to an orthogonal movement of the shaft of the catheter. The elastic bellows can be configured to deform to allow the orthogonal movement of the floating hemostasis valve.

Disclosed herein is a system for treatment including a sheath introducer and a catheter or other device. The system can have a floating hemostasis valve comprising a seal through which the shaft of the catheter can extend. The floating hemostasis valve can have elastic bellows which can allow the seal to move orthogonal to the longitudinal axis of the sheath introducer in response to an orthogonal movement of the shaft of the catheter. The elastic bellows can be configured to deform to allow the orthogonal movement of the floating hemostasis valve.

Disclosed are introducer adapters, introducer assemblies, and methods. In an example, an introducer assembly can include a syringe, a needle, and an introducer adapter fluidly coupled therebetween. The introducer adapter can include a primary conduit, a secondary conduit extending from a side of the primary conduit, and a valve including an elastomeric septum sealing a proximal portion of the primary conduit or the secondary conduit. An access guidewire is optionally loaded in the introducer adapter and sealed therein by the valve. In another example, a method can include a method for securing vascular access with the foregoing introducer assembly. Such a method can include obtaining the introducer assembly, establishing a needle tract from an area of skin to a blood-vessel lumen of a patient with the needle, and advancing at least a guidewire tip of the access guidewire into the blood-vessel lumen for the securing of the vascular access.

Disclosed are introducer adapters, introducer assemblies, and methods. In an example, an introducer assembly can include a syringe, a needle, and an introducer adapter fluidly coupled therebetween. The introducer adapter can include a primary conduit, a secondary conduit extending from a side of the primary conduit, and a valve including an elastomeric septum sealing a proximal portion of the primary conduit or the secondary conduit. An access guidewire is optionally loaded in the introducer adapter and sealed therein by the valve. In another example, a method can include a method for securing vascular access with the foregoing introducer assembly. Such a method can include obtaining the introducer assembly, establishing a needle tract from an area of skin to a blood-vessel lumen of a patient with the needle, and advancing at least a guidewire tip of the access guidewire into the blood-vessel lumen for the securing of the vascular access.