A method for supplying insufflation fluid to a patient cavity includes positioning a secondary trocar at least partially within a primary trocar, the secondary trocar being configured to facilitate delivery of insufflation fluid to a patient cavity. The method further includes, upon positioning the secondary trocar at least partially within the primary trocar, coupling the secondary trocar to the primary trocar thereby forming a trocar assembly. The method further includes coupling the primary trocar to a surgical robot and delivering the insufflation fluid to the patient cavity using the trocar assembly.

An apparatus for guiding cannulation with a dialysis needle of an arteriovenous dialysis access graft subcutaneously implanted in a body of a subject. The guiding apparatus comprises an elongated body member comprising a base portion terminating in longitudinal edges, a distance between the longitudinal edges of the base portion being substantially equal to a lateral dimension of the aces graft, and an elongated tubular sleeve defining an pocket having a longitudinal dimension and a lateral dimension configured to receive the body member. The body member is adapted to be received in the pocket of the sleeve for securing adjacent the subcutaneous access graft such that the inner surface of the base portion is aligned with a cannulation point of the graft for guiding location of a needle insertion.

A surgical access assembly and method of use is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either within the brain. Once positioned at a desired location, the obturator is removed, leaving a distal end of the outer sheath adjacent an area of interest, and creating a working corridor. Interrogation of the area of interest may be performed to evaluate a disorder and/or abnormality, as well as evaluate treatment regimes. Interventional devices may also be introduced to the area of interest, as well as a variety of treatments.

A method comprises positioning a medical appliance having a primary pressure sensor at or within a patient incision site and supplying an insufflation fluid to the patient cavity. The method further comprises measuring a pressure in the patient cavity by the primary pressure sensor and controlling the supply of insufflation fluid by an insufflator to the patient cavity based at least on the measured pressure. The method further comprises determining, by a processor associated with the insufflator, that the measured pressure may be inaccurate and, in response to determining that the measured pressure may be inaccurate, controlling, by the insufflator, the supply of the insufflation fluid to the patient cavity based at least on a pressure measured by a backup pressure sensor.

An implantable medical device for delivering therapeutic fluid to, and withdrawing cerebrospinal fluid (CSF) from, a CSF-containing space, includes a first inlet configured to be accessed by a needle of an aspiration device; a first outlet; a first fluid pathway extending from the first inlet to the first outlet; a second inlet; a second outlet; and a second fluid pathway extending from the second inlet to the second outlet. The first fluid pathway is free of a filter configured to prevent passage of a microbe.

Percutaneous access apparatus is described that comprises a percutaneous fluid access device having an extracorporeal portion, one or more ports accessible from the extracorporeal portion and a septum for sealing each port. A connector device comprising one or more hollow needles is attachable to the percutaneous fluid access device. The apparatus also includes an attachment mechanism for attaching the connector device to the extracorporeal portion and an actuation mechanism that, after the connector device has been attached to the extracorporeal portion, can be used to drive the one or more hollow needles through the septum to establish fluid communication between the one or more hollow needles and the one or more ports. The apparatus may be used for neurosurgery applications.

A surgical access assembly and method of use is disclosed. The surgical access assembly comprises an outer sheath and an obturator. The outer sheath and obturator are configured to be delivered to an area of interest within the brain. Either the outer sheath or the obturator may be configured to operate with a navigational system to track the location of either within the brain. Once positioned at a desired location, the obturator is removed, leaving a distal end of the outer sheath adjacent an area of interest, and creating a working corridor. Interrogation of the area of interest may be performed to evaluate a disorder and/or abnormality, as well as evaluate treatment regimes. Interventional devices may also be introduced to the area of interest, as well as a variety of treatments.

An implantable skin piercing device for connecting an external tube to a catheter tube (4) that can be placed inside the human or animal body comprises a cylindrical base body (6) with an upper region (8) facing away from the body in the implanted state and a lower region (10) facing towards the body in the implanted state, wherein the base body is provided in its lower region with a subcutaneous anchorage (12) intended for subcutaneous insertion and wherein upper connection means (16) for connecting the external tube and lower connection means (18) for connecting the catheter tube are present. The subcutaneous anchorage is formed from a plurality of fixing tabs (14) articulated on the base body, which are pivotable from a radially downwards folded retracted position (E) into a radially outwards folded holding position (H). The lower connection means comprise an adapter piece (20) for the catheter tube which can be inserted into the base body and which cooperates with the fixing tabs in such manner that in an inserted lower stop position, it fixes the fixing tabs in the radially outwards folded holding position (H).

A multi-port distribution hub for vascular access devices (VADs) facilitates sequential administration of multiple medications and VAD flushing by syringes through a catheter hub of an intravenous (IV) catheter without the need to scrub and disinfect the catheter hub after dispensing each individual syringe. A housing manifold of the hub defines a central chamber. A plurality of manifold runners each has a runner outlet in fluid communication with the central chamber, and a runner inlet in fluid communication with a corresponding syringe port. A patient access port is in fluid communication with the chamber. A one-way valve in the central chamber prevents fluid backflow through other syringe ports while dispensing fluid from one of the syringes.

Various embodiments of an intraosseous port configured for subcutaneous placement within a patient. Some embodiments include a pair of cavities, each cavity including a septum for receiving a needle. Other embodiments include a graft extending between the cavities. Each cavity is coupled with a lumen extending into a cavity of a bone during use, e.g., a medullary cavity. A method includes extracting a bodily liquid from the bone cavity and returning the bodily liquid back to the bone cavity. Some methods include performing hemodialysis via the intraosseous port.