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 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.

Fluid delivery devices, systems and methods. The fluid delivery devices may be used to delivery fluid (e.g., insulin) to a user. The devices may have one or more inlets, and may be configured for use with an injection device, such as a syringe, and/or with a pump.

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.

A percutaneous access system provides placement of an access catheter through a tissue access tract into a patient's vasculature. The system includes an access needle having a narrow width, a dilator or carrier dilator having a tapered distal end and an expanded-width proximal portion, and a radially expandable sheath having a lumen configured to receive the needle when said sheath in a radially constricted configuration. The sheath is radially expanded by advancement of the dilator or dilator carrier through the sheath lumen to allow advancement of the access catheter therethrough. In some examples, the dilator is removed prior to introducing the catheter into the expanded sheath. In other examples, the catheter is introduced in the carrier dilator that radially expands the sheath.

An instrument advancement device may include an instrument and an advancement feature configured to advance the instrument distally through the catheter assembly. The instrument advancement device may include a first indicator marking, a second indicator marking, and a third indicator marking. In response to aligning the advancement feature with the first indicator marking, a distal tip of the instrument may be configured to align with a distal tip of a catheter assembly. In response to aligning the advancement feature with the second indicator marking, the distal tip of the instrument may be advanced a distance distal to the distal tip of the catheter assembly. In response to aligning the advancement feature with the third indicator marking, the distal tip of the instrument may be advanced another distance distal to the distal tip of the catheter 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.

The present disclosure discussed a device, method and/or system for performing a sealing control for a vascular treatment system having a handle assembly. To perform the sealing control, a movable ring associated with the handle assembly is adjusted to at least one of: a first position to provide a minimum pressure seal between the catheter and the handle assembly such that the catheter is freely movable within the handle assembly, a second position to provide a predetermined amount of pressure seal between the catheter and the handle assembly such that the catheter is movable in frictional contact with the handle assembly, and a third position to provide a maximum pressure seal between the catheter and the handle assembly such that the catheter is unmovable within the handle assembly.

An implantable device includes a low-profile housing having a cavity defined in a side thereof, and an element insertably removable with respect to the housing in a direction substantially parallel to a surgical plane of the implantable device. The element has a first portion adapted to be received in the housing cavity. The element further includes a second portion adapted to protrude from the housing upon insertion of the element into the housing cavity. The second portion includes at least one surface adapted for engagement with a surgical instrument for insertion and removal of the element with respect to the housing. A method for servicing the implantable device includes, at an incision proximate an implant location of the implantable device, insertably and removably accessing the element in a direction substantially parallel to a surgical plane of the implantable device.

A barrier system is provided for use in reducing infections associated with post-operative surgical incision and/or a percutaneous medical device, such as a catheter, that is disposed within the surgical incision. Such a barrier system may include: a barrier device having a skin-contacting surface and a catheter-receiving surface; and an adhesive composition configured for adhering to skin, the barrier device, and/or the catheter so as to form a barrier at or adjacent to an incision in the skin where the catheter is percutaneously inserted through the skin. A tensioning anchor and associated system of two or more tensioning anchors is provided for post-operative wound closure. A method for applying and removing the barrier device and tensioning anchors is also provided.