In one embodiment, an expandable access sheath including a planar sheet of material that is configured to be rolled up around an inflatable balloon, the sheet comprising an inner surface, an outer surface, a leading edge, a trailing edge, a proximal edge, and a distal edge, the sheet further including at least one locking tab that extends from either the inner surface or the outer surface of the sheet, wherein the leading edge of the sheet is configured to interface with the locking tab to lock the access sheath in a predetermined configuration in which the access sheath forms an inner working channel having a predetermined cross-sectional dimension after the access sheath has been expanded by the inflatable balloon.

Disclosed are a port and methods of implanting thereof minimally invasively in a body of a subject. A rear portion of the port comprises a port gripping portion configured for clamping by a clamping head of a medical clamp. The port can be pushed with the medical clamp through a surgical opening and a subcutaneous void and/or passage to a target implantation site, and, and the medical clamp can be released from the port gripping portion and removed the from the subcutaneous void and/or passage.

In some examples, a device, which may be used to access vasculature or another hollow anatomical structure of a patient, includes a housing, a cannula mechanically coupled to a housing distal end, and a needle configured to be locked in a deployed configuration in which the needle extends within a cannula lumen and protrudes from the cannula distal end. The needle is configured to slide proximally through the cannula lumen from the deployed configuration into a retracted configuration in which at least a portion of the needle is within a housing lumen. The device further includes at least one needle guide configured to maintain the needle along a path in the housing lumen substantially parallel to the needle guide when the needle moves between the deployed configuration and the retracted configuration.

A self-closing device for implantation within a patient's body includes base material including an inner surface area for securing the base material to a tissue structure, and a plurality of support elements surrounding or embedded in the base material. The support elements are separable laterally within a plane of the base material to accommodate creating an opening through the base material for receiving one or more instruments through the base material, and biased to return laterally towards a relaxed state for self-closing the opening after removing the one or more instruments. The device may be provided as a patch or integrally attached to a tubular graft or in various shapes.

A flexible portal cannula for use in arthroscopic surgery. Distally positioned flaps extend radially outwardly from the outer surface of the cannula and are resiliently foldable to lie against the outer surface of the cannula during insertion into a surgical portal, and resiliently biased to return to the radially outwardly extending position when unconstrained. A clip disposed on the cannula outer surface outside of an arthroscopic workspace acts to clamp tissue disposed between the clip and the flaps. The clip has an extension to receive pairs of slots to sort and engage the sutures.

The present disclosure concerns a vascular access device (1) comprising a vascular access tube (2), such as a cannula, having a distal end region (3) terminating in a tip (4) for insertion into a blood vessel (V) of a patient and at least one lumen (5) for infusing a medicament and/or for introducing one or more catheters there-through into the blood vessel (V). The device (1) further comprises a fixation mechanism (10) that is operable to secure or fix the distal end region (3) of the vascular access tube (2) with respect to the patient to inhibit or prevent withdrawal of the tip (4) from the blood vessel (V) and/or to inhibit or prevent overinsertion of the tip (4) into the blood vessel (V). The tip (4) of the vascular access tube (2) has an opening (6) for communication between the at least one lumen (5) of the access tube (2) and the blood vessel (V) of the patient into which the tip (4) is inserted, and the fixation mechanism (10) is desirably configured to position and fix the opening (6) of the tip (4) at or adjacent a wall (W) of the blood vessel (V) at a point of insertion of the tip (4). The fixation mechanism (10) is preferably configured to secure or fix the vascular access tube such that the access tube extends longitudinally at a predetermined angle (#) with respect to the blood vessel (V) at a point of insertion of the tip (4). The predetermined angle (#) may be within the range of about 20 degrees to about 90 degrees. The disclosure provides a corresponding method of implanting the vascular access device (1) in a patient.

A medical device for percutaneous or venous access is provided with an internal cavity, from which a cannula extends in a first position of work. The cannula is supported by a distal end of a cannula-holder which is able to move within the cavity under the action of a resilient thrust element to a second position of work. Actuation means associated with the body of the device are provided to permit this movement and cooperate with actuation counter-means integral with the cannula-holder. In at least one of the two positions of work, the cannula has its longitudinal axis (W) disposed inclined relative to the longitudinal axis (K) of the tubular body.

This present disclosure provides devices, systems, and methods relating to the management of a subject's medical needs involving safely accessing a body cavity. In particular, the present disclosure is directed to body cavity conduit devices and systems that facilitate repeated access to a subject's body cavity for removing fluid or performing a procedure in a manner that provides enhanced comfort, safety, and efficacy.

A catheter system includes abase plate having a bottom surface, an outer circumferential wall, a circular flange extending inwardly from the outer circumferential wall, and an inner ring that is spaced apart from the outer circumferential wall, extends upwardly from the bottom surface, and defines a central opening in the base plate. A catheter is placed within the central opening of the base plate. A cover is placed over and secured to the base plate. The cover has a closed upper portion defining an internal chamber of the cover and a lower portion defining an opening in the cover. The lower portion includes a skirt with a flange extending outwardly around a periphery of the skirt to engage the circular flange of the base plate and form a closed reservoir. Methods of accessing cerebrospinal fluid using the catheter systems are also provided.

Aspiration syringes and methods thereof are disclosed. An exemplary aspiration syringe can include a barrel, a plunger disposed in the barrel, and an aspiration mechanism. The aspiration mechanism can include a thumb-support member coupled to a distal portion of the barrel and a syringe housing slidably disposed around the barrel. The syringe housing can include a proximal portion coupled to a proximal portion of the plunger and a distal portion terminating with a flange incorporated into a finger-support member. The aspiration mechanism can be configured for withdrawing the plunger from the barrel as the finger-support member is slid over the barrel toward the thumb-support member. An example method of the foregoing aspiration syringe can include a fluid-aspirating step including aspirating fluid from a fluid-containing space with a single hand over a medial portion of the syringe by squeezing together the finger-support member and the thumb-support member.