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.

Surgical access ports useful in minimally invasive surgical procedures are provided. The access ports comprise a cannula that defines a passageway for one or more surgical instruments through a tissue tract and a dome extending from the cannula to provide an expanded diameter for receiving one or more surgical instruments.

The present disclosure illustrates an introducer sheath with a partially annealed metal frame. The introducer sheaths described herein include a hub coupled to a shaft. The shaft comprises a braided wire frame with (i) an annealed distal portion that prevents the braided wire frame from unraveling at a distal end, and (ii) a second portion that is unannealed; a jacket encompassing the braided wire frame; and a liner forming an inner wall.

A connection unit for air feeding tube is a connection unit to which an air feeding tube is connectable and fixable and which includes: a first pipe having an opening through which gas from the air feeding tube flows in; a second pipe that is configured to be arrangeable substantially parallel to a surface of a bed used in an examination, and includes an opening through which the gas flows out; and an air feeding flow path which is formed to include the two openings and through which the gas is fed. When the air feeding tube is fixed to the connection unit for air feeding tube and is used, a part of the air feeding flow path for the gas is formed so as to pass through an area located at a position opposite to a gravitational direction with respect to a central axis of the second pipe.

Systems, methods, and kits include a sheath assembly including a stabilizer, a stabilizer foot coupled to the stabilizer and including a stabilizer eyelet configured to secure a suture, a gripping mechanism coupled to the stabilizer remote from the stabilizer foot and including a valve eyelet configured to secure the suture, an introducer sheath extending through the gripping mechanism, the stabilizer, and the stabilizer foot, and an entry luer coupled to the introducer sheath. A hemostatic valve includes a hemostatic valve entry port coupled to the entry luer, a bypass port, and an access port. A stopcock includes a stopcock entry port, a collection port, and a stopcock valve providing selective communication between the stopcock entry port and the collection port. A collection bag is connected to the collection port. An angioplasty device can be disposed within the introducer sheath.

A surgical port includes a first end, a second end opposite the first end, and a longitudinal axis extending through the first end and the second end. An outer sidewall extends between the first end and the second end. First and second channels extend through the port from the first end to the second end. A first electrically conductive portion extends from the first channel to the outer sidewall, and a second electrically conductive portion extends from the second channel to the outer sidewall. The first electrically conductive portion provides a first electrically conductive path between the first channel and the outer sidewall and the second electrically conductive portion provides a second electrically conductive path the second channel and the outer sidewall. The second electrically conductive path is separate from the first electrically conductive path. Devices and methods relate to surgical ports.

A surgical port includes an end face with a channel extending through the end face. The channel has a cross section shaped to receive a surgical instrument cannula. A lateral wall extends around a perimeter of the end face. The lateral wall and end face enclose an open volume. A rim extends radially inward from the lateral wall and projects into the open volume. An apron portion extends radially outward from the lateral wall and in a direction axially away from the end face. Surgical systems may include surgical ports. Methods relate to using surgical ports.

An example introducer is disclosed. An example introducer sheath includes a tubular member including an inner surface, an outer surface and a wall extending therebetween. The introducer further includes a plurality of spine members. The plurality of spine members are positioned radially inward of the outer surface of the tubular member. Further, each of the plurality of the spine members are positioned radially outward of the inner surface of the tubular member. Additionally, the tubular member is designed to shift from a first configuration to a second configuration and the wall has a first thickness in the first position and a second thickness in the second position, the second thickness smaller than the first thickness.

A method for performing cardiology and endovascular interventional operations includes: Step 1, putting an artery sheath into a punctured artery; inserting a Pigtail catheter into a first end of the artery sheath, and advancing it to a left ventricle; injecting contrast into the Pigtail catheter to perform left ventricle angiography; and withdrawing the Pigtail catheter from the artery sheath. Step 2, inserting a guiding catheter into the first end of the artery sheath, and advancing it to the left ventricle. Step 3, advancing a myocardial biopsy forcep to a left ventricle endocardium through the guiding catheter to collect a piece of myocardium. Step 4, withdrawing the myocardial biopsy forcep from the guiding catheter, and preserving a myocardium specimen. Step 5, repeating steps 3 and 4 until collecting enough number of myocardium specimens. Step 6, withdrawing the guiding catheter from the artery sheath, and pulling the artery sheath out of the artery.

A surgical access device has a housing and a tubular member extending from the housing. A collar includes proximal and distal walls along with first and second sidewalls. The first and second sidewalls have a circular configuration and join the proximal and distal walls. The collar is repositionable along a length of the tubular member. A cavity is defined between the proximal and distal walls and the first and second sidewalls. The cavity is configured to store a quantity of a fluid therein. Pores extend through the distal wall and each pore is configured to allow a predetermined quantity of the fluid to flow therethrough. A port is disposed through the proximal wall and is in fluid communication with the cavity. The port is configured to allow the fluid to be introduced into the cavity.