A surgical access assembly for positioning within an opening in tissue including an outer frame positionable outside a patient and defining an opening therein dimensioned to receive a surgical instrument therethrough. The outer frame includes a first portion, a second portion and a locking portion. An inner member is positionable within a patient and a flexible member extends between the inner member and outer frame and is spreadable by actuation of the outer frame.

A trocar or surgical port assembly includes an annular body attachable to a patient at an incision in a patient. The annular body includes a cylindrical insert portion defining a proximal end and a distal end and a flange disposed at the proximal end of the cylindrical insert portion. A skirt is attached to the distal end of the cylindrical insert portion and extends distally from the annular body and includes a flexible web and a wire attached to the flexible web that in a multiple looped configuration of non-intersecting curved portions positioned in the vicinity of the distal portion of the skirt to enable the flexible web to be biased via a biasing force exerted by the wire into a funnel-shaped open configuration having an opening of the skirt at the distal portion of the skirt that is larger than an opening of the skirt at the proximal portion.

A cardiac pacing system that includes an implantable pulse generator and electrical leads that include a lead body portion having a distal end and a proximal end, a connector configured to electrically connect the proximal end of the lead body to the pulse generator, and at least one electrode disposed at the distal end of the lead body for delivering electrical stimulation to a patient's heart, wherein the distal end of the lead body is configured to terminate within the mediastinum of the thoracic cavity of the patient, proximate to the heart.

An apparatus for injecting an implant for eye disease to regulate the intraocular pressure includes a cannula having an internal space. The cannula includes a first segment including one end; a second segment connected to the first segment; and a third segment connected to the second segment, and including an opening for the implant on a side. The opening for the implant is spaced a predetermined distance apart from one end of the cannula to provide a structure for allowing the insertion of only part of the implant and easy separation of the cannula and the implant in the eye.

A surgical access device includes a body having a first member and a second member relatively movable between open and closed configurations. Each member is positionable within an opening in tissue to provide access to an interior space of a patient. Each member includes a top surface, a bottom surface, a leading end, and a trailing end. The top surfaces are positioned in close cooperative alignment when the first and second members are in the closed configuration. The trailing ends are positioned in close cooperative alignment when the first and second members are in the open configuration. In the open position, the first and second members define a passage therethrough to permit access to the interior space for passage of a surgical instrument therethrough.

A cardiac pacing system that includes an implantable pulse generator and electrical leads that include a lead body portion having a distal end and a proximal end, a connector configured to electrically connect the proximal end of the lead body to the pulse generator, and at least one electrode disposed at the distal end of the lead body for delivering electrical stimulation to a patient's heart, wherein the distal end of the lead body is configured to terminate within the mediastinum of the thoracic cavity of the patient, proximate to the heart.

Systems and methods are disclosed that include inserting an insertion dilator into an insertion sheath such that the insertion dilator extends out from a distal end of an insertion sheath, penetrating patient skin with the insertion dilator to push the insertion sheath through the skin to reach a particular depth, removing the insertion dilator from the insertion sheath, inserting a delivery system into the insertion sheath, and deploying a lead by advancing the lead through an insertion tip of the delivery system.

Systems and methods are disclosed that include inserting an insertion dilator into an insertion sheath such that the insertion dilator extends out from a distal end of an insertion sheath, penetrating patient skin with the insertion dilator to push the insertion sheath through the skin to reach a particular depth, removing the insertion dilator from the insertion sheath, inserting a delivery system into the insertion sheath, and deploying a lead by advancing the lead through an insertion tip of the delivery system.

A needle thoracostomy device with a venting device, a deployment device, and a positioning device. The venting device is configured to vent a pleural cavity of a patient. The deployment device is removably attached to the venting device and is configured to perform a needle thoracostomy to attach the venting device to the patient. The deployment device has a release mechanism which, when moved to a released position, allows the deployment device to be separated and lifted away from the venting device. The positioning device is configured to removably engage with at least one of the deployment device and the venting device to correctly position the deployment device and the venting device on the patient for the needle thoracostomy. The positioning device may position the deployment device and the venting device based on anatomical landmarks.