Ureteral access sheath

A handle adapted for use with a surgical access device having the configuration of an elongate tube with a working channel, comprising:

• a distal section of the handle sized and configured to move on the tube of the access device to a predetermined position along the tube;
• a proximal section of the handle having a flared configuration, a first surface facing generally distally, and a second surface facing generally proximally, the first surface extending decreasingly radially inwardly with progressive equal distal positions along the handle, the second surface extending decreasingly radially inwardly with progressive equal distal positions along the handle;
• and
• an engagement apparatus movable to facilitate a generally fixed relationship between the tube and the handle when the handle is operatively disposed at the predetermined position along the tube,
• wherein the engagement apparatus comprises a cylinder and a clamp disposed over the cylinder.

A ureteral access sheath adapted for insertion into a urethra by a person having a pair of adjacent fingers, the access sheath comprising:

• an elongate tube having a lumen extending between a proximal end and a distal end;
• a handle disposed at the proximal end of the tube;
• portions of the handle defining a distally facing surface and a proximally facing surface, the distally facing surface being concave, sized and configured to receive the adjacent fingers of the user, the proximally facing surface being convex and configured to funnel instrumentation into the lumen;
• a coiled spring covering the elongate tube;
• and
• an outer body covering the coiled spring.