A valve assembly (1, 12, 21, 31, 44, 52, 60) includes a hollow tube (2). The valve assembly (1, 12, 21, 31, 44, 52, 60) also includes a first set of one or more valves (3) 5 arranged within the hollow tube (2). The first set of valves (3) is configured to permit sliding passage of a substantially cylindrical object (4). The valve assembly (1, 12, 21, 31, 44, 52, 60) also includes a second set of valves (5) arranged within the hollow tube (2) and spaced apart from the first set of valves to (3) define a chamber. The second set of valves (5) are configured to permit sliding passage of the cylindrical object (4). The 10 valve assembly (1, 12, 21, 31, 44, 52, 60) also includes one or more ultraviolet light sources (10) within the chamber (6) and/or a first port (13) connecting the chamber (6) to the exterior of the hollow tube (2) and configured for connection to a fluid flow path (14) for supply and/or extraction of fluid (19).

A torque device useable in some embodiments in an endovascular procedure. The torque device is connectable to catheter end to provide an interlocked torque-device/catheter that can be mounted to, and slid over, a guidewire as a unit. A spring arm extends from a main body section of the torque device and can be depressed into the main body section so that the spring arm and main body section can be secured in position with respect to each other. In one embodiment, the depressed spring arm and main body section are mountable to an end of a catheter to secure them in position and to the catheter. Alternatively, the torque device can be mounted to a guide wire by depressing the spring arm, and releasing the spring arm can cause torque device to grip the guide wire and allow the operator to turn or move the torque device and gripped guide wire. Some embodiments provide a torque device through which material may be injected into a catheter to which the torque device is connected.

According to one aspect of the disclosure, a delivery device may include a handle, a catheter sheath extending distally from the handle, and a hemostasis valve positioned within the handle. The hemostasis valve may be located proximal the catheter sheath and distal to a proximal end of the handle. The delivery device may also include a hemostasis bypass assembly coupled to the handle. The hemostasis bypass assembly may include a bypass tube coupled to an actuator. The actuator may be configured to be transitioned between a first condition in which a distal end of the bypass tube is positioned proximal to the hemostasis valve and the hemostasis valve is closed, and a second condition in which the distal end of the bypass tube traverses the hemostasis valve and the hemostasis valve is opened.

An access port is disclosed for use in minimally invasive surgical procedures performed within a patient's abdominal cavity, which includes a body defining a bore configured to guide at least one surgical instrument into the abdominal cavity, and concave and convex anchoring regions for securing the access port relative to the abdominal cavity.

A surgical port assembly for use with surgical instruments includes a body including an exterior surface and an interior space defined by an interior surface of the body. The surgical port assembly includes a control interface including a plurality of drive members coupled to the body and controllable to apply a force to a different portion of a shaft of an surgical instrument, when the shaft is disposed within the interior space, to move a distal portion of the surgical instrument to a desired position within a body cavity.

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.

The present invention discloses methods and a device for performing cardiology and endovascular interventional operations via a radial artery or ulnar artery. The method includes: step 1, putting an artery sheath into a punctured artery, wherein the artery is a radial artery or ulnar artery; step 2, allowing a guiding catheter to penetrate into the artery sheath from outside the body and penetrate out of the artery sheath from the other end to be advanced to a left ventricle; step 3, advancing a myocardial biopsy forcep to the left ventricle endocardium through the guiding catheter to collect a piece of myocardium; step 4, withdrawing the myocardial biopsy forcep from the guiding catheter to be outside the body, and preserving the myocardium specimen; step 5, repeating the step 3 and the step 4 until collecting enough number of specimens; and step 6, withdrawing the guiding catheter from the artery sheath, pulling the artery sheath out of the artery, and performing compression dressing over the access site. When performing myocardial biopsy and other relevant operations, the method does not need to penetrate other blood vessels or pull the artery sheath out of the artery and exchange the artery sheath with other sheathless guiding catheter or catheter, thereby making the procedure more convenient and more effective, as well as reducing complications caused by stimuli to the puncture site.

A gasket for creating a fluid seal in a medical device includes a flexible base, a flexible hollow body, and a multi-leaflet valve. The flexible hollow body extends along an axis from a hole defined in the flexible base. The flexible hollow body is configured to have a relaxed state in which a cross section of the flexible hollow body has a first shape and a compressed state in which the cross section of the flexible hollow body has a second shape. The multi-leaflet valve is disposed in the flexible hollow body. The compressed state causes the multi-leaflet valve to close to increase (a) a first threshold force or a first threshold pressure differential needed to open the multi-leaflet valve in a distal direction and (b) a second threshold force or a second threshold pressure differential needed to open the multi-leaflet valve in a proximal direction.

The present disclosure relates to medical devices for facilitating introducing, removing, and/or exchanging an accessory and/or tool, such as a guidewire. In an embodiment, a catheter port for introducing an accessory may comprise a body comprising a proximal end, a distal end, a longitudinal axis extending therethrough, and a main channel extending along the longitudinal axis along a length of the body. The main channel may be substantially coaxial with a lumen of a catheter. An extension may extend from the body. The extension may comprise an accessory channel extending through the extension. The accessory channel may be in fluid communication with the main channel. The accessory channel may be configured to accept the accessory. A positive stop may be disposed along the accessory channel. The positive stop may be configured to abut a distal end of the accessory.

A method of electrically grounding a medical instrument includes inserting a medical instrument through a channel of a surgical port extending from a first end of the surgical port to a second end of the surgical port and while the medical instrument is inserted through the channel, contacting the medical instrument with an electrically conductive material portion protruding into an interior of the channel and extending through a sidewall of the surgical port. Contact of the medical instrument with the electrically conductive material portion does not extend around an entire circumference of the medical instrument.