An introducer cannula for use in crossing pleural layers includes an elongate tubular member and a pleural access liner. The elongate tubular member has a proximal end, a distal end, and a side wall that longitudinally extends between the proximal end and the distal end. The side wall has an outer surface and an inner surface, wherein the inner surface defines a lumen. The pleural access liner is made of a swellable and bioabsorbable material that swells when hydrated. The pleural access liner has a shape of an elongate tube and the pleural access liner has an elongate opening that surrounds an outer surface portion of the outer surface of the elongate tubular member.

A cannula for providing a pathway for surgical instruments in a minimally invasive procedure including a flexible body portion having a lumen extending from the proximal region to the distal region, a proximal opening, a distal opening and a flange extending radially outwardly from the distal region and being flexible for insertion through an incision in a body of a patient. A rigid body portion extends proximally of the flexible body portion which is more flexible than the rigid body portion. A first seal is positioned within the rigid body portion and spaced proximally of a region of the flexible body portion distal of the rigid body portion, the seal preventing egress of fluids from the body of the patient.

A system and method for collecting bone marrow includes a trocar component having an upper handle and an elongate shaft depending from the handle, the shaft having a sharp cutting edge at a lower tip thereof. An introducer component includes a lower handle having an inlet formed therethrough and an introducer cannula communicably connected to the inlet and depending from the lower handle. The introducer cannula has an open distal end. The harvesting component includes a support hub having an aspiration port and a harvesting cannula communicably connected to the aspiration port and depending from the support hub. The trocar and introducer components are introduced into the bone marrow and the trocar component is replaced by the harvesting component. The introducer cannula is withdrawn and interengaged with the support hub of the harvesting component and the assembly is manipulated to drive a blunt end of the harvesting component through the bone marrow without causing undue damage to the bone marrow and constituent cells. Bone marrow is aspirated through fenestrated openings in the side wall of the harvesting cannula.

In some embodiments, a microsurgical instrument includes a trocar having a rigid, hollow shaft formed with a lumen extending from a proximal end to a distal end of the shaft. The distal end of the shaft may be shaped for tissue penetration. The instrument may further include a composite microcannula slidably engaged with the trocar in the lumen. The microcannula includes a light guide and a flexible hollow tube having an outer diameter less than an inner diameter of the lumen in the trocar. Other embodiments include placing the microcannula in the lumen of the trocar, illuminating the end of the trocar by illuminating the end of the microcannula, advancing the trocar from a selected entry point on an eye into a selected structure in the eye, and extending the illuminated end of the microcannula from the trocar into the selected structure.

Systems and methods are provided for identifying a suitable surgical location and/or trajectory for proceeding with a surgical procedure based on local polarization-sensitive optical coherence tomography imaging (PS-OCT). PS-OCT images are obtained of a tissue region and are processed to provide a spatial map of anisotropic structure within the tissue region. The anisotropic structure is processed to determine one or more suitable surgical locations and/or trajectories for avoiding or reducing damage to local anisotropic tissue structure identified within the tissue region. The spatial map of the anisotropic structure is registered with pre-operative volumetric image data identifying anisotropic tissue structure within a second tissue region that is larger than the tissue region imaged by PS-OCT.

A method and system of bending medical device components for customization to a particular medical procedure and patient while generally maintaining the ideal performance of the component. A medical professional embeds the medical device component into a bending tool. The medical professional then aligns an intended curve region of the medical device component within a bending region of the bending tool and imparts a curve in the bending region. Finally, the medical professional withdraws the medical device component from the bending tool, and utilizes the bent medical device component in the medical procedure. The system may be a kit comprising various medical device components for a particular medical procedure and a suitable bending tool for those components.

Provided is an ophthalmic instrument that is for retaining a tube member for providing communication between the inside and the outside of an eyeball, such that the tube member is stuck into an outer membrane of the eyeball and that is suitable for retaining the tube member at an outer peripheral portion of a cornea. An ophthalmic instrument includes a main body and a needle portion connected to the main body. The main body has a straight portion and a bent portion. When attaching a tube member to an eyeball, first, the needle portion is inserted through the tube member, and the tube member is stuck into an outer peripheral portion of a cornea as the outer membrane of the eyeball while a hole is made in the outer peripheral portion of the cornea with the needle portion.

A surgical access assembly including an elongated cannula member having proximal and distal end portions, a cannula housing coupled to the proximal end portion of the elongated cannula member, a balloon anchor coupled to the distal end portion of the elongated cannula member, and a collar disposed along the elongated cannula member and in fluid communication with the balloon anchor. The collar includes a first check valve and a manually actuatable pump. The first check valve is configured to control flow of air into the balloon anchor. The manually actuatable pump is coupled to the first check valve.

An intervertebral disc surgical system has at least one optical cannula configured with a working channel and an optical channel, wherein the working channel and the optical channel are positioned parallel to one another. The working channel is configured to receive the elongated tubular member of an electrosurgical instrument and the optical channel is configured to receive an optical scope. The optical cannula has an optical cannula operative end for entering an operative field of a patient.

A medical tool includes, a deflectable distal end, at least a pull wire, and a deflection assembly. The at least pull wire having a first end coupled to the distal end of the medical tool and configured to be moved for deflecting the distal end. The deflection assembly is coupled to a second end of at least the pull wire and is configured to control a deflection of the distal end. The deflection assembly includes a first gear having a first rotation axis, and a second gear, having a second rotation axis and including a jagged surface for integrating with the first gear. The jagged surface is slanted relative to the second rotation axis, and when the first gear rotates, the second gear is configured to be rotated by the first gear, to move along the second rotation axis and to deflect the distal end by moving the pull wire.