Abstract: A catheter exchange member is provided for reducing exchange time when replacing one catheter (or similar device) with another in the vascular anatomy of a patient. The catheter exchange member includes a tubular body having a proximal and a distal end and a central lumen. A tapered fixture having a distal port and a proximal opening which is larger than the distal port is attached to the tubular body at the distal port. An elongate shaft is attached to and extends proximally from either the tapered fixture or the tubular body. The exchange member is preferably used within a conventional guiding catheter where the tubular body is advanced through a distal end of the guiding catheter and into the coronary artery while the tapered fixture remains in the guiding catheter. This configuration allows various therapeutic and diagnostic devices to be stored within the guiding catheter just proximal to the tapered fixture.

Abstract: A catheter exchange member is provided for reducing exchange time when replacing one catheter (or similar device) with another in the vascular anatomy of a patient. The catheter exchange member includes a tubular body having a proximal and a distal end and a central lumen. A tapered fixture having a distal port and a proximal opening which is larger than the distal port is attached to the tubular body at the distal port. An elongate shaft is attached to and extends proximally from either the tapered fixture or the tubular body. The exchange member is preferably used within a conventional guiding catheter where the tubular body is advanced through a distal end of the guiding catheter and into the coronary artery while the tapered fixture remains in the guiding catheter. This configuration allows various therapeutic and diagnostic devices to be stored within the guiding catheter just proximal to the tapered fixture.

Abstract: A catheter is provided having a catheter body with a proximal end, a distal end, and a central axis therebetween. A guide wire lumen is provided which terminates in a channel which is directed laterally outward from the central axis and through the catheter body between the proximal and distal ends. The channel is defined by a pair of opposing walls and a surface therebetween which is inclined radially outward from the central axis to orient a guide wire in a direction generally aligned with the central axis as it leaves the catheter body.

Abstract: An ultrasonic transducer includes a transducer element having a backing element bonded thereto. The thickness of the backing element is selected to be less than or equal to half the length of an ultrasonic pulse, expressed in wavelengths of the center frequency of the pulse, so that the first reflection from the back side of the backing element is received by the transducer element before the primary pulse rings down. A method for mounting the transducer that reduces the formation of air bubbles includes the steps of forming a peaked mound and continually lowering the transducer to flatten the mound against the underside of the transducer.

Abstract: A catheter system includes a catheter sheath and a flexible working shaft within a working lumen of the sheath. The sheath includes a monorail-type guidewire lumen at its distal end, and a stiffening member is provided adjacent a side port of the monorail guidewire lumen to inhibit prolapse of the catheter as it is introduced past a bend or curve over a guidewire. In a first embodiment, the stiffening member may be secured directly within a working lumen of the catheter body. In a second embodiment, the stiffening member may be attached to a distal end of the working shaft, typically an imaging core.

Abstract: A catheter is provided for insertion into the blood vessel of a patient for ultrasonically imaging the vessel wall. The catheter includes a tubular element and an internally housed drive cable for effecting a circumferential scan about the catheter of an ultrasonic generating means. Both the tubular element and the drive cable are of a size and flexibility sufficient to permit their introduction into the vessel and subsequent advancement through the vessel to the location of the vessel wall where imaging is desired.