2731 results about "Access port" patented technology

A surgical access system (100) comprises an access port (5), a rigid cannula having a shaft (11) and a laparoscopic surgical instrument (101). The access port (5) comprises a seal (6) and a retractor. The retractor comprises a distal O-ring (71), an outer proximal ring member (77), an inner proximal ring member (78) and a sleeve (72). The sleeve (72) extends distally from the inner proximal ring member (78) to the distal O-ring (71) in a first layer, is looped around the distal O-ring (71), and extends proximally in a second layer between the inner proximal ring member (78) and the outer proximal ring member (77). The instrument (101) comprises a shaft (103) with a rigid proximal region (104), a flexible intermediate region (105), and a rigid distal region (106). The instrument shaft (103) may be inserted through the cannula shaft (11). The instrument (101) has a rigid end effector (107) releasably coupled to the distal end (108) of the instrument shaft (103). An actuator (109) for actuating the end effector (107) is provided at the proximal end (110) of the instrument shaft (103). The actuator (109) is movable along the instrument shaft (103) parallel to the longitudinal axis of the instrument shaft (103).

A biopsy system having a lateral tissue access port includes an energy based tissue penetration system that can advantageously penetrate hard tumors, improve hemostasis, and provide greater tissue access. The energy based tissue penetration system has a vibrational member removeably disposed within the biopsy system, and a distal tip of the vibrational member extending from the biopsy system for tissue penetration. A sleeve is located between the vibrational member and the lateral access port to prevent tissue contact with the vibrational member through the lateral access port.

An elongated access port has a needle-impenetrable housing enclosing a fluid reservoir. The housing includes a base having a floor with an upstanding encircling sidewall and a cap having a top wall with a depending encircling skirt. The skirt of the cap receives the sidewall of the base. An access aperture extends through the top wall of the cap to communicate with the fluid reservoir. The access aperture is encircled by a continuous rim having an elongated shape in the plane of the access aperture. The rim of the access aperture may be elliptical, oval, polygonal, or parabolic-ended. An elastomeric, needle-penetrable, generally planar septum is disposed in the access aperture with the periphery of the septum in sealing engagement with the rim of the access aperture. Prior to installation, the septum has a periphery with a cross section in the plane of the septum that is geometrically proportional to and larger than the shape of the access aperture. Installation causes the periphery of the septum to be displaced inwardly by the rim of the access aperture in a direction parallel to the plane of the septum. In view of the relative shapes of the rim of the access aperture and the periphery of the septum, this produces substantially uniform hydrostatic pressure in regions of the installed septum that are subjected in use of the access port to needle penetrations. Opposite faces of the periphery of the septum are urged toward each other between the cap of the housing and the top of the sidewall of the base of the housing.

A method and system for distributing voice prompts and messaging closer to the calling or called party via the Voice Access Port (VAP) of a wireless centrex system comprises the steps of transmitting a message request to the VAP from a network server platform, retrieving a selected message and forwarding the message, for example, to the calling party, for example, when the called party is not available or during conference call set-up, call hold or call screening. In accordance with a further embodiment, the voice prompt or message may be personalized with the calling/called party's name, address or other personalized information as appropriate.

Capsules and similar objects are made from materials having diamond (sp³) lattice structures, including diamond materials in synthetic crystalline, polycrystalline (ordered or disordered), nanocrystalline and amorphous forms. The capsules generally include a hollow shell made of a diamond material that defines an interior region that may be empty or that may contain a fluid or solid material. Some of the capsules include access ports that can be used to fill the capsule with a fluid. Capsules and similar structures can be manufactured by growing diamond on suitably shaped substrates. In some of these methods, diamond shell sections are grown on substrates, then joined together. In other methods, a nearly complete diamond shell is grown around a form substrate, and the substrate can be removed through a relatively small opening in the shell.

An instrument access port comprises a retractor (811) for retracting the sides of an incision (813) and a valve (829) for sealing around an instrument (814) inserted through the retracted incision (813). The retractor (811) comprises a distal member for insertion into the incision (813), a proximal member for location externally of the incision (813) and a retracting member for extending between the distal member and the proximal member. The valve (829) is coupled to the retractor (811) to define a low profile sealed instrument access port.

A surgical device for use in minimally invasive surgery in which body cavity is accessed by a surgeon though an access port defined by the device, the device including a body cavity engagement feature for insertion into the incision to locate the device in position, fixing feature with a ring that attaches the device to the patient's skin, and a toroid cell having a bladder filled with a liquid or a gel to prevent substantial leakage of gas from the body cavity and formed to mould about a substantial portion of a surgeon's hand or surgical instrument on insertion.

An extravascular system is provided which includes a catheter adapter having a blood control septum configured to control flow of a fluid through the catheter adapter, the catheter adapter further having a catheter configured for intravenous insertion. The extravascular system further includes a septum activator slidably inserted within the catheter adapter and configured for advancement through the blood control septum to provide a fluid pathway through the blood control septum. Further still, the extravascular system includes an external safety mechanism comprising a needle hub and a needle shield interconnected via a tether, wherein the needle shield includes a safety clip that is configured to retain a sharpened end of the introducer needle within the needle shield. Some implementations further comprise an access port forming a portion of the catheter adapter and providing selective access to the lumen of the catheter adapter.

A wound protector and retractor device 1 comprises a sleeve 2, a distal member provided by a distal ring 3 of resilient material and a proximal member provided by a proximal ring 4. The sleeve 2 is led around the ring 3 and is free to move axially relative to the distal ring 3 somewhat in the manner of a pulley. The proximal ring 4 is fixed to the sleeve 2, in this case at the proximal inner end thereof. The sleeve 2 terminates in a handle or gripping portion which is reinforced by a gripping ring 15. The sleeve extends from the proximal ring 4 and the distal ring 3 is contained between inner and outer layers 2a, 2b of the sleeve 2. The resilient distal ring 3 is scrunched up and inserted through the incision 6. The sleeve 2 is then pulled upwardly. On pulling of the sleeve 2 upwardly the outer layer 2b is pulled up while the inner layer 2a is drawn around the proximal ring 3. This results in shortening the axial extent between the proximal ring 4 and the distal ring 3, tensioning the sleeve and applying a retraction force to the margins of the incision 6. As the incision is being retracted the margins are also protected by the sleeve. On retraction, an access port is provided, for example for a surgeon to insert his hand and/or an instrument to perform a procedure. The device may be used as a retractor in open surgery or as a base for a valve/seal to allow it to be used in hand assisted laparoscopic surgery or for instrument access or hand access generally.

According to some embodiments, a method for promoting spinal fusion using a spinal implant comprises providing a spinal implant, wherein the spinal implant comprises an anterior wall, a posterior wall and two lateral walls configured to extend between the anterior wall and the posterior wall. In some embodiments, the spinal implant further comprises at least one internal chamber generally positioned between the anterior wall, the posterior wall and the two lateral walls, wherein the internal chamber being is adapted to receive at least one graft and/or other fill material. In some arrangements, the anterior wall of the spinal implant comprises at least one opening or hole that places the internal chamber in fluid communication with an exterior area or portion of the spinal implant. In one embodiment, at least one of the two lateral walls comprises an access port. The method additionally includes positioning the spinal implant between two adjacent vertebrae of a patient and directing at least one graft and/or other fill material into the internal chamber of the spinal implant through the access port. In some embodiments, at least a portion of the graft and/or other fill material delivered into the internal chamber is configured to exit through the one or more of the openings of the anterior wall.

A combination device for gastrostomy or jejunostomy usage having a retaining member, an elongated member having a gastrostomy lumen and a jejustomy lumen, and an inflatable balloon mounted on the elongated member. The retaining member is of a low profile and is arranged to be located on the skin adjacent a stoma in the abdominal wall through which the elongated member extends. The balloon seals the stoma about the elongated member. The retaining member includes at least one access port to communicate with respective ones of the lumens. The device, related compositions, and processes can prevent and/or treat granulomas.

An implantable access port for use in transferring a fluid transdermally between an external fluid storage or dispensing device and a site within a patient's body is disclosed. The access port includes a base, a bowl-shaped reservoir defined within the base by a smooth surfaced wall, and a septum secured to the base and enclosing the reservoir within the base. The access port also includes a reservoir outlet defined centrally within the reservoir. The bowl-shaped reservoir is defined by a continuous smooth-surfaced curvilinear wall. The reservoir may thus be sized and shaped as a parabola, or may be hemispherical or semi-hemispherical in cross-section. The reservoir outlet is defined at a center point on the bottom of the reservoir wall, may be partially or fully recessed within the bottom of the reservoir wall, and is also defined in the base tangentially with respect to the bottom of the reservoir wall. The access port also has an outlet passageway defined within the base and extending in communication with the reservoir outlet and an external opening defined in the exterior of the base.

A method of performing anastomosis includes securing an access port system to an exterior surface of the target vessel to assist in axial alignment, depth registration, and/or sealing when inserting instruments such as punching instruments and anastomosis instruments into the target vessel.

A robotic surgical instrument system for performing a surgical procedure is envisaged wherein the system is a dual articulated arm configuration robot that enables entry into an operative space via an access port. Surgical arms are inserted into the operative space in a substantially straight line and then articulated inside the operative space. The articulation of the surgical arms by a surgical console is achieved using ‘triangulation’.

An access port assembly having an attachable catheter allows for inserting a guidewire into the catheter to aid in the placement of the integral catheter while still attached to the access port assembly. A method is described for placing an access port fixedly attached to a catheter into a patient using a guidewire inserted into the catheter.

Surgical methods and instruments are disclosed for performing port-access or closed-chest coronary artery bypass (CABG) surgery in multivessel coronary artery disease. In contrast to standard open-chest CABG surgery, which requires a median sternotomy or other gross thoracotomy to expose the patient's heart, post-access CABG surgery is performed through small incisions or access ports made through the intercostal spaces between the patient's ribs, resulting in greatly reduced pain and morbidity to the patient. In situ arterial bypass grafts, such as the internal mammary arteries and/or the right gastroepiploic artery, are prepared for grafting by thoracoscopic or laparoscopic takedown techniques. Free grafts, such as a saphenous vein graft or a free arterial graft, can be used to augment the in situ arterial grafts. The graft vessels are anastomosed to the coronary arteries under direct visualization through a cardioscopic microscope inserted through an intercostal access port. Retraction instruments are provided to manipulate the heart within the closed chest of the patient to expose each of the coronary arteries for visualization and anastomosis. Disclosed are a tunneler and an articulated tunneling grasper for rerouting the graft vessels, and a finger-like retractor, a suction cup retractor, a snare retractor and a loop retractor for manipulating the heart. Also disclosed is a port-access topical cooling device for improving myocardial protection during the port-access CABG procedure. An alternate surgical approach using an anterior mediastinotomy is also described.

An implantable access port for use in transferring a fluid transdermally between an external fluid storage or dispensing device and a site within a patient's body is disclosed. The access port includes a base, a bowl-shaped reservoir defined within the base by a smooth surfaced wall, and a septum secured to the base and enclosing the reservoir within the base. The access port also has an outlet passageway defined within the base and extending in communication with a reservoir outlet defined within the reservoir and an external opening defined in the exterior of the base.

A personal portable cooling device for facilitating relief from hot environments or conditions, such as those caused by menopausal “hot flashes”, the cooling device having a waterproof plastic pouch with a sealable access port, internal insulation layer to resist heat transfer, waterproof inner liner to resist leakage, fastening device for selectively closing the access port, sealed bladder filled with a freezable agent that provides a cooling medium and absorbent pad to absorb moisture from the bladder.

An implantable access port for use in transferring fluid transdermally between an external fluid storage or dispensing device and a site within a patient is disclosed. The access port includes a body, at least two reservoirs defined within the access port body, and at least one septum secured to the body and enclosing the reservoirs within the body. The access port also includes reservoir outlets defined within the reservoirs. The access port also has body conduits defined within the body and in fluid communication with the reservoir outlets and external openings defined in the exterior of the body. An implantable access port and system for use in apheresis is also provided that includes an implantable access port, at least one needle, and a catheter that is fluidly connected to the access port.

An antimicrobial IV access cap having an inner surface for retaining an antimicrobial agent, and further configured to receive a portion of an access port of an intravascular device.

A surgical access device is disclosed that includes an access port having an elongated body with opposed proximal and distal end portions and defining a longitudinal axis, the body having a central lumen extending there through and having a resilient bulb portion formed between the proximal and distal end portions thereof, wherein the resilient bulb portion is adapted and configured to transition between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter that is less than the first diameter and a second length that is greater than the first length, and wherein a telescoping guide tube assembly is disposed within the central lumen of the access port body for accommodating an elongated insertion device, wherein the guide tube assembly is adapted and configured to transition between a first length corresponding to the first condition of the bulb portion and a second length corresponding to the second condition of the bulb portion.