An external end device has a casing (4), including a base (5), in which a distal opening (12) is formed which receives a funnel-shaped septum (14) having a tube trunk (140). Inside the tube trunk (140) the catheter (3) is connected to the distal section (16) of the fitting (15). A tubular coating (2) has a proximal end adapted to be grafted onto the tube trunk (140) and a distal end coaxially adhering to the catheter (3). A pair of bands (90, 91) of tissue-ingrowth material is fixed on the tubular coating (2), and an anchor ring (92), equipped with anchoring means, is sandwiched between the bands (90, 91).

The present invention features an all-in-one system for vascular access and closure. In particular, this invention features systems and methods for forming holes in blood vessels and rapidly closing these vessel holes using an all-in-one system. For example, an arterial access and closure port system is disclosed herein to provide fail-safe percutaneous entry and exit into any artery, particularly useful for high flow and high pressure arteries such as the carotid artery. The present invention is a single system that forms and closes vascular holes and can be used for percutaneous arterial access with interventional radiology, interventional cardiology, neuro-intervention, endovascular surgery, and endovascular neurosurgery.

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.

Biomedical device for carrying out an arterial catheterization comprising a catheter assembly, a Seldinger assembly, an outer sheath assembly configured to contain thereinside both said catheter assembly and said Seldinger assembly when the device is assembled before its use, at least a cannula-needle integral to the Seldinger assembly, valve means to avoid blood backflow and safety means for needle clamping, protection means for the needle, said catheter assembly comprising a thin tube, a nearly cylindrically shaped end provided with a couple of side wings, an inner cavity obtained in said end, said device being characterized in that said valve means and said safety means are located inside said outer sheath assembly in the inner cavity obtained in said cylindrical seat of the catheter assembly.

A variable volume infusion port is provided. The infusion port may include a port body having an internal fluid reservoir, a septum, a stem to fluidly couple to a catheter lumen, and a displaceable member disposed in the internal fluid reservoir. In a first position, the displaceable member is disposed proximate the septum, providing a relatively small fluid volume within the infusion port. Insertion of an injection device through the septum causes the displaceable member to move to a second location distal from the septum, providing a relatively large fluid volume within the infusion port for the duration the injection device remains in the infusion port. The displaceable member may include a rigid member operably coupled to a biasing element or a flexible member coupled to a biasing element.

A flow restriction device may include a distal end configured to couple to a catheter assembly, a proximal end configured to couple to a fluid collection device, and a body extending from the proximal end to the distal end. The body may include an outer surface and an inner surface defining a lumen of the body. The flow restriction device may further include a fluid pathway disposed between the distal end and the proximal end when the outer surface is coupled within a mating luer. The fluid pathway may include a non-linear portion on at least a portion of the outer surface along which a fluid flows from the distal end into the fluid collection device.

An instrument advancement device may include a housing and an extension tube extending through the housing. A wedge may be disposed within the housing. The wedge may include an arc-shaped channel. A pair of opposing pinch members configured to pinch the extension tube may be disposed within the housing and configured to move along the extension tube. An instrument may extend through the arc-shaped channel. A first end of the instrument may be fixed. In response to moving the housing distally along the extension tube, the pair of opposing pinch members may push the wedge distally. In response to movement of the wedge distally a first distance, a second end of the instrument may be configured to advance distally a second distance. A support element or compressible element may be disposed within a lumen of the extension tube to support the instrument.

The present invention relates to methods of transvascular retrograde access placement and to devices that facilitate these methods. For purposes of the present invention, transvascular retrograde access placement generally comprises the insertion of a vascular catheter into a central blood vessel through the puncturing of the central blood vessel from the inside of the central blood vessel with a needle or other similarly configured device, or a needle-tipped guidewire of the present invention, and exiting that needle from the patient through the skin rather than the traditional approach of inserting a needle from the outside of the skin surface to the inside of a blood vessel.

A method and apparatus are aimed to improve arteriovenous fistula maturation rate by treating the fistula with a crosslink agent solution (fixative solution). The fixative solution will crosslink proteins and biomolecules, allowing formation of crosslinks that stabilize or stable tissue structure. The method and apparatus will address factors that contribute to arteriovenous fistula maturation failure by stopping the neointimal hyperplasia growth after vascular injury and stabilizing the venous wall to prevent the lumen from narrowing.

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.