A vascular access device may include a housing, which may include a distal end, a proximal end, and a lumen extending through the distal end of the housing and the proximal end of the housing. The distal end of the housing may include a connector configured to couple to a catheter assembly. The vascular access device may include a bag, which may be coupled to the proximal end of the housing. The vascular access device may include an instrument and a pincher disposed within the bag. The pincher may be configured to pinch the instrument to move the instrument distally through the lumen of the housing and into the catheter assembly.

A catheter assembly may include a catheter adapter, which may include a distal end, a proximal end, a lumen extending through the distal end of the catheter adapter and the proximal end of the catheter adapter, and a side port disposed between the distal end of the catheter adapter and the proximal end of the catheter adapter. The catheter assembly may include a catheter extending distally from the distal end of the catheter adapter. The catheter assembly may include a valve disposed within the lumen. The catheter assembly may include a retainer element configured to secure the annular valve within the lumen. The retainer element may be disposed within the lumen proximal to a proximal end of the annular valve.

A catheter assembly may include a catheter adapter, which may include a body and a side port extending outwardly from the body. The body may include a distal end, a proximal end, and an inner surface extending through the distal end and the proximal end and forming a lumen. An angle of the side port with respect to a longitudinal axis of the body may be adjustable. The catheter assembly may include a catheter extending distally from the distal end of the catheter adapter. The catheter assembly may include a septum disposed within the lumen proximal to a side port pathway extending through the side port and in fluid communication with the lumen.

An arteriovenous dialysis access graft configured to be implanted in a subject includes: at least one flexible conduit having first and second end portions, wherein the first end portion is configured to connect to an artery of the subject and the second end portion is configured to connect to a vein of the subject such that blood flows through the at least one conduit; and at least one cannulation chamber positioned between the first end portion and the second end portion of the at least one conduit. The chamber includes: an elongated housing having an inlet and an outlet, a posterior wall, a pair of sidewalls, and an open anterior portion defining a cannulation port; and a self-sealing material extending across the cannulation port. The posterior wall and the sidewalls of the housing are formed of a substantially rigid material.

Rapidly insertable central catheters (“RICCs”), RICC insertion assemblies, and methods are disclosed. For example, a RICC insertion assembly can include a RICC, an introducer, and an access guidewire. An introducer needle can include a needle shaft having a longitudinal gap extending from a proximal portion of the needle shaft through a needle tip. An introducer sheath can include a splittable sheath hub coupled to a splittable sheath body. The introducer sheath can be disposed over the introducer needle with the sheath body sealing the needle shaft for drawing a vacuum through the introducer needle. The access guidewire can extend along an entirety of a primary lumen of the RICC, through a splittable valved port of the sheath hub, along a sheath body-covered needle channel of the needle shaft, and to a location in the introducer proximal of the needle tip in a ready-to-operate state of the RICC insertion assembly.

A first method of forming a blood access hole includes: cutting a blood vessel; and connecting the cut blood vessel to a skin. A second method of forming a blood access hole includes: forming an opening in a skin; and connecting a blood vessel, at least a part of which is incised, to the opening. A third method of forming a blood access hole includes: connecting a blood vessel, at least a part of which is incised, to a skin, to open a part of an inner wall of the blood vessel to the atmosphere. A blood access hole 1 in which a blood vessel 10 inside a human body is directly connected to the skin 20 of the human body.

An arteriovenous dialysis access graft configured to be implanted in a subject includes: at least one flexible conduit having first and second end portions, wherein the first end portion is configured to connect to an artery of the subject and the second end portion is configured to connect to a vein of the subject such that blood flows through the at least one conduit from the first end portion to the second end portion; and at least one cannulation chamber positioned between the first end portion and the second end portion of the at least one conduit. The chamber includes: an elongated housing having an inlet at a first end thereof and an outlet at a second, opposed end thereof, a posterior wall, a pair of sidewalls, and an open anterior portion defining a cannulation port; a self-sealing material extending across the cannulation port; and a longitudinal passageway defined by the housing and the self-sealing material that extends from the inlet to the outlet of the housing. The housing of the at least one chamber is formed of a substantially rigid material such that, when a dialysis needle is inserted through the self-sealing material and the cannulation port, the needle is inhibited or prevented from extending through the posterior or the side walls of the housing.

A system for facilitating instrument delivery through a peripheral intravenous catheter may include a catheter adapter having a proximal end, a distal end, and a lumen extending there through. The catheter adapter may include a side port. The system may include an extension tube extending from the side port. The system may include a blood control valve disposed in the lumen of the catheter adapter. The system may include a peripheral intravenous catheter extending distally from the catheter adapter.

An introducer assembly includes a plurality of selectable side holes through which a fluid can be delivered. In some examples, an introducer assembly includes an outer elongated body defining a plurality of outer body side holes and an inner elongated body defining a plurality of inner body side holes. The inner elongated body is configured to rotate relative to the outer elongated body between a first rotational orientation in which a first subset of outer body side holes aligns with a first subset of inner body side holes and the inner elongated body blocks fluid flow out of the outer elongated body through a second subset of outer body side holes, and a second rotational orientation in which the second subset of outer body side holes aligns with a second subset of inner body side holes and inner elongated body blocks fluid the first subset of outer body side holes.

A low-profile access port for subcutaneous implantation within a patient. The access port can include a set of receiving cups which can be placed in fluid communication with a catheter. The set of receiving cups can provide a greater skin surface with which to access the port to avoid repeated penetrations at a single locus, such as during consecutive dialysis treatments. The access port can alternatively include needle penetrable arms or elongate chambers that also have a slim, low profile. The access port can include a needle guide to direct subsequent needle access to different insertion points to permit healing at the previous insertion points. The access port can be formed of a modular construction with a first conduit, a second conduit, and an outer shell. The outer shell can include a proximal portion and a distal portion. The access port can include a stem assembly and a locking member.