Tissue puncture devices, and systems and methods for accessing tissue (e.g., cardiovascular tissue) according to the present disclosure may include a tubular sheath extending along a longitudinal axis, the tubular sheath having a proximal end and a distal end, a needle disposed coaxially in the sheath, the needle having a proximal end and a distal end and being movable along the longitudinal axis of sheath, and a needle control mechanism disposed at the proximal end of the needle, the needle control mechanism being configured to lock the distal end of the needle in a first position retracted within the distal end of the sheath, and release the needle to an unlocked second position such that the distal end of the needle is extendable beyond the distal end of the sheath.

A trocar assembly includes a housing, an elongated cannula extending from the housing to an insertion tip, and skirt. The skirt has a leading end portion and a trailing end portion. The leading end portion is secured to the insertion tip. The skirt has an outer surface supporting an antimicrobial material and an inner surface supporting a medical adhesive material.

A surgical access device includes an elongate tubular member with a proximal region and a distal region. A passage extends through the elongate tubular member. The surgical access device also includes a balloon anchor with an expandable portion. A first portion of the balloon anchor extends proximally along the outer surface of the tubular member. The surgical access device also has a valve assembly disposed in the proximal region of the elongate tubular member that is fluidly coupled to the balloon anchor. A disc is slidably disposed on the elongate tubular member and includes a first blade with a first sharpened edge that is configured to penetrate the first portion of the balloon anchor. The first blade is transitionable between a retracted position and an extended position.

A safety introducer needle assembly having an introducer needle defining an axial direction, the needle having an outer surface and an inner surface defining a lumen which extends along the length of the needle in the axial direction; the outer surface defined by a wall of the needle forming a needle shaft that extend along the axial direction having a distal end and a proximal end, wherein the proximal end connected to a needle hub and the distal end comprising a sharp bevelled tip wherein the needle has a roughened or echogenic region having echogenic features; and a needle tip protector housed in a safety barrel and slidably arranged on the needle shaft from moving beyond the needle tip and wherein the safety barrel is engageably attached to the needle hub.

An imaging apparatus includes a hub; a needle extending from the hub, a probe provided within the needle and configured to extend and retract, an imager disposed in the probe, and an interposer provided within the needle. The imager is configured to generate an imaging signal. The interposer includes a substrate and a conductive line patterned on the substrate. The interposer is configured to receive the image signal from the imager via the conductive line.

A needle having a first end, a second end, and a lumen extending within an interior of the needle, between the first end and the second end. A sleeve is engageable within an interior diameter or interior surface of the lumen. The sleeve includes a first end and a second end that are sized to reside within the first end of the lumen and the second end of the lumen, respectively. Ports extend between the first end and the second end of the sleeve. The ports have an inlet and an outlet sized to receive and route stimulator wires to areas within the epidural space of a spine.

Trocar components and methods of use are described, wherein the trocar components are configured to provide access to intraperitoneal space via the rectouterine pouch to surgical tools, which optionally include one or more surgical robot members. The surgical tools are optionally 5 mm or more in diameter. In some embodiments, a cannula part has a lumen sized to provide to a plurality of the surgical tools simultaneous transvaginal access to the intraperitoneal space via the rectouterine pouch. In some embodiments, an incision sized to receive a distal aperture of the cannula is created, optionally using one or two dilators. The dilators are sized to create (optionally starting from a puncture by a needle 2 mm in diameter or less) an oblong aperture. In some embodiments, the oblong aperture is at least twice as wide across a long diameter as across a short diameter.

A transvascularly placed steerable microcatheter, further including internal steerability and the ability to articulate in a direction at right angles to its longitudinal axis at or near its distal end. The steerable microcatheter is generally fabricated from stainless steel, nitinol, or other metal and includes an outer tube, an inner tube, hub structures, and a distal articulating region. The steerable microcatheter can be advanced through a body lumen in its straight configuration and then be selectively articulated or curved to permit negotiation of tortuous curvature. The microcatheter is especially suited to robotic or powered control applications with user intervention or using artificial intelligence (AI).

A trocar for insertion into an organ of a patient includes a cannula, an obturator body, and two or more interchangeable obturator heads. The cannula has a longitudinal axis. The obturator body is configured to be inserted into the cannula. The two or more interchangeable obturator heads are each configured to be detachably fitted at a distal end of the obturator body.

The present invention provides minimally invasive subdural evacuating systems and methods of use thereof. The subdural evacuating systems include a cutting component and a rod component, wherein the rod component provides an external physical indicator that the surface of the dura mater has been reached, permitting the cutting component to accurately pierce the dura mater with minimal to no risk of damaging any adjacent anatomy.