A skin surface indwelling device for guiding punctures includes: an indwelling tube (13) having an inside tunnel (P) substantially extending along the longitudinal direction of the indwelling tube (13), the tunnel (P) is used for guiding needle (N), the indwelling tube (13) has a proximal end positioned above the skin surface (S) and a distal end positioned under the skin surface (S) in indwelling state; a support (11) having a bottom surface on its bottom that directly or indirectly contacts with the skin surface (S), the support (11) supports and fixates the indwelling tube (13); and a sealing elements (141,142) configured to seal the tunnel (P). The skin surface indwelling device for guiding punctures can shorten the time of establishing a puncture tunnel in the buttonhole puncture method, and help to build the puncture tunnel. In addition, the skin surface indwelling device can also guide the puncture needle (N) when puncturing, and protect the immature puncture tunnel.

The present invention relates to methods, devices and systems for performing the removal of thrombus from a vessel lumen. More particularly the present invention relates to a thrombectomy system that includes an elongate catheter and a disposable aspiration pump and methods of performing medical procedures to remove clots, thrombus and emboli to re-establish the normal intravascular flow of blood.

A cannula and instrument guide assembly includes a cannula with a proximal portion and a tube. An instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to a distal end of the tube. The proximal portion of the cannula has an insufflation port. The instrument guide provides at least one interior passageway to support a shaft of a surgical instrument that passes through the instrument guide. One or more channels on an outer surface of the instrument guide provide a passage for insufflation gas received from the insufflation port to the distal end of the tube. The one or more channels have a first cross-sectional area at a proximal end and a second, larger cross-sectional area at a distal end. The one or more channels may have the first cross-sectional area along a majority of the length of the channels.

A urological device includes a valve retained in a urinary catheter. The urinary catheter has a first portion that is insertable into a urethra and a second portion adapted to remain outside of the urethra when the first portion is inserted into the urethra. The valve has a closed configuration adapted to prevent urine from exiting the urinary catheter and an open configuration adapted to allow urine to flow through and exit the urinary catheter. The valve is adapted to move from the closed configuration to the open configuration in response to a hydrodynamic pressure of at least 750 mm H2O applied to the valve for at least 5 seconds.

A kit of parts includes a urological device and a catheter. The urological device has a stem defining a lumen, a valve connected to a proximal portion of the stem and located in the lumen, and a head part connected to the stem and extending radially around the valve. The catheter is adapted to insert the urological device into a urethra of a user.

A needle protection device may include a hub, a housing disposed within the lumen of the hub, and a needle. The housing may include a tubular portion, which may include two arms coupled thereto. Each of the arms may include a first end coupled to the tubular portion, a second end disposed within the tubular portion, and a bent portion therebetween. The second end of the first arm and the second end of the second arm may form a duckbill valve. A needle may extend through the housing. Withdrawing a sharp distal tip of the needle in a proximal direction beyond the second end of each of the arms may close the duckbill valve and facilitate removal of the housing from the hub. Shielding the sharp distal tip of the needle in this manner may prevent blood spatter and exposure to blood and blood-borne pathogens.

A dressing for treating a tissue site with negative pressure including a tissue interface, a cover, a chamber wall, and a base. The cover may be adapted to be sealed to epidermis proximate the tissue site. The chamber wall may define a pump chamber, wherein the pump chamber may be adapted to be fluidly coupled to the tissue interface. The base may extend from the chamber wall, wherein the base may be fluidly sealed to the cover. The dressing may include an intake valve and an exhaust valve fluidly coupled to the pump chamber. The pump chamber may be compressed to evacuate fluid from the pump chamber through the exhaust valve. The pump chamber may then be expanded to draw′ fluid through the intake valve from the tissue interface. This supplies a negative pressure to the tissue interface which may be adapted to distribute negative pressure across the tissue site.

A cannula and instrument guide assembly includes a cannula with a proximal portion and a tube. An instrument guide is removably inserted into the proximal portion of the cannula and extends through the cannula to a distal end of the tube. The proximal portion of the cannula has an insufflation port. The instrument guide provides at least one interior passageway to support a shaft of a surgical instrument that passes through the instrument guide. One or more channels on an outer surface of the instrument guide provide a passage for insufflation gas received from the insufflation port to the distal end of the tube. The one or more channels have a first cross-sectional area at a proximal end and a second, larger cross-sectional area at a distal end. The one or more channels may have the first cross-sectional area along a majority of the length of the channels.

A method of delivering a urological device includes providing a catheter and a urological valve that can be retained within the catheter; advancing the catheter toward a bladder neck of a user; withdrawing the catheter from the user; and deploying the urological valve out of the catheter into the bladder neck or urethra of the user.

A medical device may include a seal portion having a first seal wall extending to a first lip and a second seal wall extending distally to a second lip that contacts the first lip, the first lip and second lip defining a slit, and a rim portion extending around the seal portion, the rim portion being curved or bent in a proximal direction.