A medical device may include an outer assembly having a first shaft, a first lumen extending through the first shaft, and an atraumatic first tip removably coupled to a distal end of the first shaft; an inner assembly configured to extend through the first lumen of the outer assembly, the inner assembly including a second shaft, a second lumen extending through the second shaft, and a second tip removably coupled to a distal end of the second shaft, the second tip being configured to pierce tissue; and a plug assembly configured to extend through the second lumen of the inner assembly, the plug assembly including a third shaft and a plug removably coupled to a distal end of the third shaft.

Medical systems, devices and methods for creation of autologous tissue valves within a mammalian body are disclosed. One example of a device for creating a valve flap from a vessel wall includes an elongate tubular structure having a proximal portion and a distal portion and a longitudinal axis; a first lumen having a first exit port located on the distal portion of the elongate tubular structure; a second lumen having a second exit port located on the distal portion of the elongate tubular structure; a recessed distal surface on the distal portion of the elongate tubular structure, wherein the recessed distal surface is located distally to the first exit port; and an open trough on the recessed distal surface extending longitudinally from the first exit port.

A puncture needle includes: an outer needle including a lumen extending in an axial direction; an outer needle hub joined to a proximal end portion of the outer needle; an inner needle located in the lumen of the outer needle; a switching mechanism configured to switch between a first state in which a needle tip of the puncture needle is sharp and a second state in which the needle tip of the puncture needle is blunt by displacing the inner needle in the axial direction; and a lock mechanism that maintains a position of the inner needle.

A trocar includes a shaft having a leading section, a trailing section, a reduced diameter midsection located between the leading and trailing sections, and a longitudinal axis extending along the length of the shaft. The leading section of the shaft has a tapered region that terminates at a blunt tip. The trailing section of the shaft has a connector located at the trailing end thereof. The leading and trailing sections of the shaft having a first diameter and the reduced diameter midsection of the shaft has a second diameter that is smaller than the first diameter for enabling the shaft to be bent at the reduced diameter midsection. A flexible wound drain catheter having a first end is secured to the connector at the trailing end of the trailing section of the shaft. The flexible wound drain catheter has an outer diameter that matches the first diameter of the leading and trailing sections of the shaft.

An insertion tool for creating a subcutaneous pocket and implanting a device in the pocket. The tool may include a cannula extending from a handle, a dissector tip disposed at a distal end of the cannula, and a rod. The cannula and dissector tip may create the pocket. The cannula may include a passage and an opening into the passage, and the cannula may be disposed in the passage and move along the passage between a retracted position and an extended position. The rod and the cannula may be configured such that, when the rod is at the retracted position, the cannula holds the device in the passage, and as the cannula moves from the extended position to the retracted position, the rod forces the device through the opening at the distal end of the cannula, at least partially out of the cannula, and at least partially into the pocket.

An illuminating ring assembly is disclosed. The illuminating ring configured to be used with a surgical access element. The illuminating ring assembly comprises a housing defined by a cover and a wall member extending from the cover, wherein the cover and wall member cooperate to define a cavity therein, a light element configured to be disposed with the cavity, and an attachment mechanism configured to selectively attach the housing to a surgical access element. Wherein the cover and the light element both include an opening therethrough.

A method of atraumatic medication pellet delivery using an atraumatic trocar apparatus is described. The atraumatic trocar apparatus includes a cannula and an obturator. The method includes receiving the obturator by the cannula, wherein the obturator passes through the interior passage and exits through the anterior cannula opening so that the obturator anterior rounded tip extends past the anterior cannula end and at least one opening proximate to the anterior rounded tip also extends past the anterior cannula end. The method includes inserting the atraumatic trocar through an incision into subcutaneous tissue along an insertion path to an insertion length. Additionally, the method includes inserting one or more medication pellet into the medication slot of the inserted cannula and delivering the medication pellet(s) through the interior passage of the cannula to a subcutaneous delivery site by inserting the obturator into the posterior opening of the cannula.

The present disclosure provides devices and methods for insufflating abdomens of subjects under direct visualization. Such devices and methods, in some implementations, include features for cleaning the devices, and certain implementations of the methods permit procedures wherein it is not necessary to use a typical obturator to place a cannula, resulting in safer procedures.

A trocar for peritoneal dialysis is disclosed herein. An example trocar includes a conduit having two or more parallel lumens and a head connected to a first end of the conduit. The head includes two (or more) parallel lumens that are aligned respectively with the parallel conduit lumens and includes at least one of a gasket or a seal for each lumen. The trocar also includes a coupler connected to the head. The coupler includes two (or more) parallel lumens that are aligned respectively with the parallel lumens of the head. The coupler includes a coupling mechanism for each lumen for securing surgical tools in place after insertion into a patient. The trocar may also include an obturator having a shaft that is removably inserted through the coupler, head, and conduit to protrude from a second end of the conduit.

The present disclosure provides devices and methods for insufflating abdomens of subjects under direct visualization. Such devices and methods, in some implementations, include features for cleaning the devices, and certain implementations of the methods permit procedures wherein it is not necessary to use a typical obturator to place a cannula, resulting in safer procedures.