A method and device are provided for simultaneously or near-simultaneously diagnosing and treating tension pneumothorax and/or hemothoraxA Veress-type needle portion includes a hollow needle for puncturing the chest wall over a blunt hollow probe biased by one or more springs to extend distally into the pleural cavity. Openings in the blunt hollow probe connect via a pathway to an automatic check valve, which permits the flow of air and/or fluid only in a proximal direction. Pressure from within the pleural cavity is transmitted to the interior surface of a pressure documenter. If pressure greater than atmospheric pressure is present in the pleural cavity, the pressure documenter will be automatically urged proximally to simultaneously allow air and/or fluid to escape from the pleural space through the device, thus treating the tension pneumothorax and/or hemothorax, as well as providing a stable indicator to positively document the diagnosis of increased pressure.

A sleeve insertion assembly includes a sleeve inserter defining an inner chamber and having a distal end and a proximal end opposite the distal end, a sleeve receivable within the inner chamber, and a blade guard receivable within the sleeve and having a cylindrical body that defines an interior and an open end. The open end is sized to receive jaw members of an end effector into the interior but prevent the end effector from entering the interior, and the blade guard is forced out of the sleeve when the sleeve is installed on the end effector.

An endoscope injection tool includes a needle body in a distal end of an elongated hollow inner tube, an elongated hollow outer tube allowing the inner tube to be insert longitudinally, an operation unit having an operation unit body attached to the proximal end of the outer tube and slider inserted in lumen of the operation unit body and moved longitudinally with the inner tube, and an inner guide, the outer tube has an expanded stopper in a base end for locking to a reduced diameter portion of the operation unit body when inserted from the proximal end of the operation unit body, the inner guide has a contact portion bringing the stopper of the outer tube into contact with the reduced diameter portion of the operation unit body so as to fix. The outer tube can be easily assembled and the needle body's protruded state can be easily determined.

The invention pertains to hardware and methods for direct injection, into the left ventricle of the heart of a patient or animal in cardiac arrest or in incipient cardiac arrest—using a 14-18 gauge cannula typically equipped with a retractable trocar—of an adequate amount of chilled saline or cryoprotective solution to create flow of chilled blood through the two carotid arteries, the two vertebral arteries, and the brain, to cool the brain or other vital organs. Generally, enough saline or cryoprotective solution is injected under high enough pressure to create a 30% baseline common carotid blood flow. The cannula arrangement with coordinated sharpened-tip retractable trocar, together with its surrounding flexible and rigid shield(s), diaphragm and stopcock(s), provides a sterile, self-sealing system suitable for use either in “the field” or in a hospital setting.

A portable and passive safety intraosseous device to allow for direct introduction of medications, etc., within the intermedullary space of a subject patient's bone or, if needed, the removal of certain substances from such a subject patient's bone. Such a device permits direct drilling and placement of a cannula within the subject bone with access external to the subject patient's skin, permitting, as well, connection of a tube for such introduction/removal purposes. The ability to provide a passive safety unit allows for facilitated utilization in, for instance, emergency situations with the entire device provided for utilization thereof. The device includes a drilling component with a permanently attached stylet and a removable cannula, a power supply for a single drilling operation, a mechanism to draw the stylet back into the drill component after use and disengagement from the cannula, and an automatic closure that activates with the separation of the cannula.

A system for subcutaneously injecting and anchoring a subcutaneous device to a muscle, a bone, and/or a first tissue of a patient, the subcutaneous device including a housing and a clip configured to anchor the subcutaneous device to the muscle, the bone, and/or the first tissue, includes a first surgical instrument and an insertion device. The first surgical instrument includes a first handle and a first dilation portion extending from the first handle. The first dilation portion has a first length and a first width and is configured to spread a second tissue through which the subcutaneous device is to be inserted. The insertion device is configured for insertion through the second tissue spread by the first surgical instrument. The insertion device includes an insertion handle and an insertion portion extending from the insertion handle and being configured to releasably hold the subcutaneous device to implant the subcutaneous device for anchoring to the muscle, the bone, and/or the first tissue.

A method of subcutaneously injecting and anchoring a device to a bone, a muscle, and/or a first tissue in a patient, the device having a clip configured to anchor the device to the bone, the muscle, or the first tissue, includes making an incision in the patient; inserting and advancing a first surgical instrument that spreads a second tissue to form a tunnel therein; inserting an insertion device loaded with the device through the incision; advancing the insertion device through the tunnel to the bone, the muscle, and/or the first tissue upon which the device is to be anchored; and anchoring the device to the bone, the muscle, and/or the tissue using the clip on the device

Cannula devices, systems, and methods are provided for introducing one or more instruments into a patient's body to perform a procedure. In one example, the cannula device includes first and second housings defining a throughbore, and a plurality of elongate members extending distally from the housings, the elongate members cooperatively defining a passage axially aligned with the throughbore between proximal ends and distal tips of the elongate members. The first housing is moveable in an axial direction with respect to the second housing to cause the proximal ends of the elongate members to move outwardly to increase a size of the passage and, optionally, may taper when expanded. Optionally, one or more secondary devices, e.g., an obturator with a sharpened tip, or an obturator and tubular access device may be provided that may be inserted through the throughbore into the passage before expansion of the passage.

An endoluminal punch system including a sheath and dilator. The endoluminal punch may include energy delivery system capable of being transmitted from the proximal end to the distal end of the endoluminal punch to assist with tissue crossing and incisions. The dilator may include selectively deployable cutting mechanism to create incisions in tissue that are larger than their basic external diameter. The system may also be configured to reduce the risk of generating plastic emboli during insertion of the endoluminal punch.

A system includes a sensor applicator, a sensor control device arranged within the sensor applicator and including an electronics housing and a sensor extending from a bottom of the electronics housing, and a cap coupled to one of the sensor applicator and the sensor control device, wherein the cap is removable prior to deploying the sensor control device from the sensor applicator.