A surgical access device includes a cannula, an instrument housing coupled to the cannula, a port coupled to the instrument housing, and a valve disposed within the port. The cannula includes an elongated shaft defining an access lumen and an inflation lumen therethrough. The port includes an inflation channel and an insufflation channel defined therethrough. The inflation channel is in fluid communication with the inflation lumen of the cannula and the insufflation channel is in fluid communication with the access lumen of the cannula. The valve is movable within the port between an inflation position in which a passageway defined through the valve is aligned with the inflation channel of the port, and an insufflation position in which the passageway of the valve is aligned with the insufflation channel of the port.

A system includes an access cannula, a deployment cannula having a plurality of engagement arms, and a containment bag. The deployment cannula is slidable within the access cannula between an initial condition, wherein the engagement arms are retained in a contracted configuration, and a deployed condition, wherein the engagement arms are disposed in an expanded configuration. The containment bag includes an open end portion configured to receive the first elongated tubular member and the second elongated tubular member. In the initial condition, a portion of the containment bag towards the open end portion is positioned adjacent at least one of the first elongated tubular member or the second elongated tubular member. In the deployed condition, the portion of the containment bag is expanded such that the portion of the containment bag is spaced-apart from the at least one of the first elongated tubular member or the second elongated tubular member.

Among other things, there is disclosed structure and methods for maintaining access to a location in the body while reducing or eliminating the potential for pulling an access device (e.g. a catheter) back through an opening. An introducer sheath includes a distal indented portion and a balloon, so that once placed in a desired location through tissue, the balloon can be inflated to anchor the sheath against retraction. In particular embodiments, structure and methods for accessing the pericardial cavity via the right atrial appendage are shown.

In some embodiments, a method includes a shaft having a side catheter guide attached thereto via a guide coupler into an inferior vena cava and a superior vena cava such that the guide coupler is disposed in a right atrium, and applying a distal force to a proximal portion of the side catheter guide such that a distal end of the side catheter guide deflects laterally about the guide coupler towards a septum. The method further includes extending a side catheter that is disposed within the side catheter guide distally from the side catheter guide towards and into contact with the septum. The method further includes, with the side catheter in contact with the septum, extending a septum penetrator that is slidably disposed within the side catheter distally from the side catheter such that the septum penetrator pierces the septum.

A method for use in a lung access procedure to aid in preventing pneumothorax includes providing a cannula having a pair of balloons, the pair of balloons including a first balloon longitudinally spaced from a second balloon along the cannula; inserting the cannula along an access opening and through pleural layers, with the first balloon and the second balloon of the pair of balloons respectively positioned on opposite sides of the pleural layers; inflating the pair of balloons with a first amount of a two-component sealant to compress the pleural layers together; and inflating the pair of balloons with a second amount of the two-component sealant that is sufficient to rupture the pair of balloons so as to comingle a first sealant component and a second sealant component of the two-component sealant at the site of the pleural layers so as to adhere the pleural layers together.

The disclosure includes a balloon guiding sheath that includes an elongated sheath having a proximal end, a distal end opposite the proximal end, an inner tube extending between the proximal end and the distal end, an outer tube surrounding the inner tube and extending between the proximal end and the distal end, an access port located adjacent in the proximal end, a distal port located adjacent the distal end, and a working lumen extending through the elongated sheath between the access port and the distal port. The balloon guiding sheath also includes an inflatable balloon located on an outer surface of the elongated sheath adjacent the distal end, the inflatable balloon being fluidly coupled to an inflation lumen extending between the inflatable balloon and an inflation port located adjacent the proximal end.

A surgical access assembly includes a cannula including an elongated shaft having a proximal end portion including an anchor inflation port and a distal end portion including an expandable anchor. The elongated shaft includes an inner tube and an outer tube disposed over the inner tube. The inner tube includes a channel extending longitudinally therethrough and first and second openings defined in an outer surface thereof that are in communication with the channel. The channel, the first openings, and the second openings form an inflation lumen with an inner surface of the outer tube. The inflation lumen is in communication with the anchor inflation port and the expandable anchor.

A surgical access assembly includes a cannula including an elongated shaft having a proximal end portion including an anchor inflation port and a distal end portion including an expandable anchor. The elongated shaft includes an inner tube and an outer tube disposed over the inner tube. The inner tube includes at least one groove defined in an outer surface thereof that forms an inflation channel with an inner surface of the outer tube. The inflation channel is in communication with the anchor inflation port and the expandable anchor.

A surgical access device includes an elongate tubular member with a proximal region and a distal region. A passage extends through the elongate tubular member. The surgical access device also includes a balloon anchor with an expandable portion. A first portion of the balloon anchor extends proximally along the outer surface of the tubular member. The surgical access device also has a valve assembly disposed in the proximal region of the elongate tubular member that is fluidly coupled to the balloon anchor. A disc is slidably disposed on the elongate tubular member and includes a first blade with a first sharpened edge that is configured to penetrate the first portion of the balloon anchor. The first blade is transitionable between a retracted position and an extended position.

A surgical tool for piercing tissue of a body comprises a hollow external component (1) having a peripheral wall (11), an internal component (2) movable disposed inside the external component (1) and having a piercing head (21); when the piercing head (21) and the internal component (2) retract relative to the external component (1), the movable component (3) deforms partially, expands outwardly in a radial direction, and fills the bladder (6). The movable component can be deformed to expand outward in the radial direction, so as to make the bladder to expand, so that the surgical tool can be positioned on the body of the patient.