Abstract: A catheter for a hepatic artery introduced from an arm of a patient includes a first bent portion, a second bent portion distal of the first bent portion and bent to the same side as the first bent portion, a third bent portion disposed on a distal side of the second bent portion and bent to an opposite side from the second bent portion, and a most distal end portion disposed distal of the third bent portion, in which a minimum radius of curvature of the first bent portion is larger than a minimum radius of curvature of the second bent portion. The most distal end portion is directed to a common hepatic artery and the first bent portion comes into contact with an aorta wall on an opposite side from a celiac artery when the second bent portion contacts a blood vessel wall of the celiac artery.

Abstract: A catheter for a hepatic artery introduced from an arm of a patient includes a first bent portion, a second bent portion distal of the first bent portion and bent to the same side as the first bent portion, a third bent portion disposed on a distal side of the second bent portion and bent to an opposite side from the second bent portion, and a most distal end portion disposed distal of the third bent portion, in which a minimum radius of curvature of the first bent portion is larger than a minimum radius of curvature of the second bent portion. The most distal end portion is directed to a common hepatic artery and the first bent portion comes into contact with an aorta wall on an opposite side from a celiac artery when the second bent portion contacts a blood vessel wall of the celiac artery.

Abstract: A temperature compensation flow-limiting device and an elastomeric infusion system are provided. The temperature compensation flow-limiting device is disposed in the infusion tube of the elastomeric infusion system to improve instability, caused by changes to temperature, of the flow velocity of the fluid inside the infusion tube to keep the flow velocity of the fluid stable. The temperature compensation flow-limiting device includes an inner layer and an outer layer; the coefficient of thermal expansion (CTE) of the inner layer is greater than that of the outer layer. When the temperature of the fluid inside the infusion tube increases, the inner layer expands and the internal diameter decreases as it is limited by the outer layer.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a guide extension catheter. The guide extension catheter may include a proximal shaft having a first outer diameter. A distal sheath may be attached to the proximal shaft and may have a second outer diameter greater than the first outer diameter. The distal sheath may be designed to extend past a coronary ostium and into a coronary artery so that another medical device can pass therethrough toward the coronary artery. An expandable balloon may be coupled to the distal sheath.

Abstract: A catheter extension can include an extension body with a sheath defining a lumen, a cable extending within the lumen, a proximal connector attached to the sheath and configured to couple to a catheter drive mechanism, and a distal connector attached to the sheath and configured to couple to a catheter. An axial biasing member can be coupled to the cable and integrated into either the proximal or distal connector and configured to exert a force on the cable in a first axial direction and permit movement of the cable in a second axial direction. An axial key can be coupled to the cable and integrated into the connector opposite the axial biasing member. The axial key can include a tab attached to the cable and a slot with an inner profile that complements a tab outer profile that can permit the tab to move in within the slot.

Abstract: A bi-directional perfusion cannula is provided that includes an elongate tube for insertion into an artery. The elongate tube has a first aperture at a distal end of the tube which is forward during insertion and configured so that blood can flow into the artery in the direction of insertion, an elbow formed in the elongate tube, and a second aperture formed in or slightly rearward of the elbow and configured for supplying blood into the artery in a second direction which is generally opposite to the insertion direction.

Abstract: An apparatus includes a handle assembly, a guide member extending distally from the handle assembly, and a dilation catheter slidably disposed relative to the guide member. The dilation catheter includes an expandable element configured to dilate a paranasal sinus ostium of a patient. A navigation sensor is movably disposed at the distal end of the guide member and is operable to generate a signal corresponding to a location thereof within the patient. The navigation sensor is configured to translate distally with the dilation catheter relative to the guide member when a distal end of the dilation catheter translates distally beyond the distal end of the guide member. The navigation sensor is further configured to assume a position at the distal end of the guide member when the distal end of the dilation catheter retracts proximally of the distal end of the guide member.

Abstract: An embodiment includes a system comprising: an iodine containing thermoset open-cell shape memory polymer (SMP) foam that is x-ray visible; wherein (a) the SMP foam is configured to expand from a compressed secondary state to an expanded primary state in response to thermal stimulus, (b) the SMP foam is a poly(urethane-urea-amide). Other embodiments are described herein.

Abstract: An instrument includes a handle assembly, a shaft, a dilation catheter, and a position sensor. The shaft extends distally from the handle assembly. The shaft includes a distal end that is configured to be introduced into an anatomical passageway within a head of a human. The dilation catheter includes an expandable dilator and is configured to advance distally relative to the shaft. The position sensor is configured to generate signals indicating a position of the position sensor within the head. The position sensor is configured to advance distally between at least first and second positions. The position sensor is disposed adjacent the distal end of the shaft in the first position, and is configured to be carried further distally by the dilation catheter to the second position. In the second position, the position sensor is separated a distance from the distal end of the shaft.

Abstract: Devices, assemblies, systems, and techniques described herein may facilitate the delivery of medical fluid, such as an adhesive, to a patient. For example, a medical assembly may include a flexible catheter configured to be disposed within an anatomical structure of a patient, wherein the flexible catheter defines a lumen configured to contain a volume of medical adhesive. The medical assembly may also include a shaft defining a shaft cross-sectional dimension smaller than a lumen cross-sectional dimension of the lumen, wherein advancement of the shaft through at least a portion of the lumen forces at least a portion of the volume of medical adhesive out of the distal opening of the lumen of the flexible catheter.

Abstract: An apparatus may include a plunger and a substantially cylindrical body. The substantially cylindrical body may include an end portion having rounded edges and may define a cavity sized to receive the plunger. The substantially cylindrical body may include at least one opening extending from the cavity to an external surface. The at least one opening may a substantially irregular shape. In some embodiments, the at least one opening may extend from the cavity through a nub to the external surface. The nub may have a rounded shape. In some embodiments, the substantially irregular shape may include one of a slit, an oval shape, an elliptical shape, an hourglass shape, a rectangular shape, and a diamond shape. In some embodiments, the opening may be part of a non-cylindrical fluid passage.

Abstract: A guidewire kit including a guidewire with a shaft having a curved steering section and including a straightener bounding a lumen for straightening at least the curved deflection section of the guidewire extending into the lumen for insertion of the tip and the curved deflection section of the guidewire into a needle inserted into a vessel of a patient. The straightener is of a length of at least 8 cm for obtaining an improved and more reliable steering effect of the curved steering section.

Abstract: The present invention relates to a catheter (2) for applying energy to an object (6) and a magnetic resonance imaging system (1) for localizing the catheter (2). The catheter (2) comprises an energy application element for applying energy to the object (6), and a cavity for providing a magnetic resonance fluid from which magnetic resonance signals generated by the magnetic resonance imaging system (1) are receivable, wherein the cavity is adapted for providing a cooling fluid as the magnetic resonance fluid for cooling the energy application element. The catheter (2) comprises further a tracking coil (15) for tracking the catheter (2), wherein the tracking coil (15) is adapted to receive the magnetic resonance signals from the magnetic resonance fluid. Thus, the magnetic resonance fluid fulfils at least two functions, providing magnetic resonance signals for tracking the catheter (2) and cooling the energy application element.

Abstract: An intraluminal imaging catheter comprises an outer sheath of material that is efficiently transmissive of near infrared light, a guidewire lumen section extending distally from a distal end of the outer sheath, a terminal length section of the outer sheath extending proximally from the guidewire lumen section, a cable longitudinally and rotatably disposed lengthwise within the outer sheath and having an imaging tip located at its distal end including optical components for transmitting and receiving near infrared light, wherein the cable is longitudinally extendable to position the imaging tip at the terminal length section of the outer sheath, and reinforcement means for structurally reinforcing the terminal length section of the outer sheath against transverse bending or kinking.

Abstract: A guidewire-guiding device, and guidewire-guiding assembly. The device comprises a main guidewire channel and guidewire-guiding channels are respectively arranged in the guiding body. The main guidewire channel and the guidewire-guiding channels respectively pass through the guiding body along axial direction, and in-vivo end openings of the guidewire-guiding channels and the in-vivo end opening of the main guidewire channel are arranged along the axial direction at intervals. The guiding body may be imbedded into a vessel in-vivo via the main guidewire penetrating through the main guidewire channel, and as the in-vivo end openings of the guidewire-guiding channels are arranged along the axial direction at intervals, the to-be-guided guidewires enter the guidewire-guiding channels while being staggered to the main guidewire on the axial direction, therefore the problem of tanglement of the main guidewire the branch guidewires and other kinds of guidewires may be avoided.

Abstract: Delivery devices, systems, and methods for delivering implantable leadless pacing devices are disclosed. An example delivery device may include a proximal section including a deflection mechanism for deflecting the proximal section, and a distal holding section extending distally of a distal end of the proximal section and defining a cavity therein for receiving an implantable leadless pacing device. The distal holding section may be structured to have portions that flex and bend while allowing the implantable device to be recaptured within the distal holding section.

Abstract: Apparatus and methods are provided for making catheters having relatively larger distal and proximal regions and/or including intermediate layers that minimize or eliminate gaps during manufacturing, and to catheters or other tubular devices made using such apparatus and methods.

Abstract: There is provided a lumen maintenance catheter used for vascular suture, in which an operator can stably grip the catheter to improve the operability, and the entire catheter is prevented from entering a blood vessel. The lumen maintenance catheter for vascular suture includes a shaft having flexibility and a bulging part bulging in a radial direction at a distal end of the shaft, wherein the shaft includes a small diameter part on a distal end side, and a large diameter part larger in diameter than the small diameter part, on a rear end side, the small diameter part and the large diameter part are connected by an inclined part that is inclined so that a diameter of the shaft increases toward the rear end side, and the rigidity of the shaft increases as the diameter increases.

Abstract: An anchoring delivery system for use in an intracranial artery is provided including a tethering device having an elongated tether and an anchor coupled to a distal end of the tether. The anchor is deployable from a low profile configuration to a higher profile configuration to fix the distal end of the tether at an anchoring site in an anchoring vessel. The tethering device is configured to be used with a guide-sheath having a lumen configured to receive the tether. Related devices, systems, and methods are also described.

Abstract: An implantable medical device includes at least one conductive element and an associated attenuation arrangement to attenuate MRI energy.

Abstract: Embodiments of the invention include a single lumen catheter for delivering high pressure contrast injection for TAVR procedures. The catheter comprises a main lumen for delivering contrast media extending from the proximal end to the distal pigtail end, a distal end hole for delivering contrast media, one or more side holes proximate of the end hole along the catheter shaft on the distal angled portion, a distal angled section that is angled from the main catheter lumen axis, a distal pigtail configuration that is angled from the axis of the distal section, and a distal pigtail loop. Other embodiments are also included herein.

Abstract: A delivery device for delivering an catheter into an intravenous catheter assembly may include a housing having a distal end, a proximal end, and a slot. The delivery device may include a catheter having a proximal end and a distal end. The delivery device may include a catheter hub disposed within the housing. The catheter may be secured to the catheter hub. A portion of the catheter hub may extend through the slot and may be moveable along the slot to advance the catheter in a distal direction. The distal end of the catheter may be disposed distal to the distal end of the housing when the catheter is advanced.

Abstract: A conduit for creating a passage from a right atrium to a left atrium, through a mitral valve into the left ventricle, and to provide a passage from the left ventricle into the aortic valve. The conduit includes an elongate tubular member having a shaft with a proximal section and a distal loop section at a distal end of the proximal section. The distal loop section includes a proximal curve, a distal curve, a generally straight segment extending between the curves, and a distal tip. The shaft in the distal loop section curves back on itself so that proximal curve is formed by a part of the shaft that is closer along the length of the shaft to the distal tip.

Abstract: A catheter including a tubular catheter body defining a distal portion, a distal end and a lumen that extends to the distal end, a radiopaque marker carried within the lumen, and a non-metal tip that is bonded to distal end of the catheter body.

Abstract: Cannula for fluid perfusion comprising a tubular body extending from a proximal portion to a distal portion thereof, the tubular body being provided with an internal cavity defining a first opening in the distal portion allowing a fluid to exit the cavity in a first direction, the tubular body comprising a connection portion lying between the proximal and distal portions, the connection portion being designed to be inserted into a blood vessel by the distal portion. The cannula furthermore comprises a duct extending from a first end to a second end thereof, the second end being provided with an auxiliary opening placed at the connection portion so as to allow a fluid to exit the duct in a second direction opposite to the first direction.

Abstract: A catheter curvature brace, catheter assembly and method for managing fluid in a patient, the brace being attachable to a distal portion of a shaft of a catheter and having an elongated frame with a distal end and a proximal end. The frame is formed with at least one curve in a relaxed curved configuration. At least two coupling elements are connected to the frame, each coupling element configured to engage an outer surface of the catheter. At least the frame is formed of an elastic, biocompatible material capable of being straightened by a force and then returning to the relaxed curved configuration after the force is removed, thereby bending the catheter to substantially conform to the relaxed curved configuration.

Abstract: A laser ablation catheter includes a distal tip, and the distal tip includes a body that defines a longitudinal axis. A first orientation indicator is formed on the body, and the first orientation indicator has an alphanumeric shape. A second orientation indicator is formed on the body. The second orientation indicator is disposed relative to the first orientation indicator such that when the distal tip is viewed in a first side view, the second orientation indicator and the first orientation indicator overlap, appear as the alphanumeric shape, and visually contrast with the body. The second orientation indicator is configured such that when the distal tip is viewed in a second side view, the second orientation indicator appears as the alphanumeric shape and visually contrasts with the body, the second side view and the first side view being substantially 90 degrees apart about the longitudinal axis.

Abstract: A catheter insertion device for inserting a catheter into a body of a patient is disclosed. The catheter insertion device includes a retractable needle for establishing access to a subcutaneous vessel of the patient and a manually extensible guidewire for guiding the initially attached catheter into the vessel. In one embodiment, the catheter insertion device comprises a housing, a hollow needle retractably extending from the housing, a catheter initially disposed on a portion of the needle, a guidewire including a portion initially disposed within the needle, a guidewire advancement feature configured to selectively advance a distal end of the guidewire distally past a distal end of the needle, and a needle retention component configured to selectively enable retraction of the needle into the housing. The needle retention component is configured to be actuated by the guidewire advancement feature. In one embodiment, one-handed operation of the device is possible.

Abstract: A loader and method for loading a transcatheter heart valve into a delivery sheath or catheter is described that is also configured to facilitate retrieval of the heart valve back through the delivery sheath while protecting the delivery sheath from damage. Another loader provides for easier crimping and loading of a THV into a delivery sheath or catheter from a storage jar or container. A method for crimping a THV facilitates easier end user preparation of the valve for implantation and reduces the likelihood of tissue deformation in the valve during storage. These devices and methods for deploying THVs simplify the valve replacement procedure.

Abstract: A method for visualization includes registering, within a common frame of reference, a position sensing system and a three-dimensional (3D) computerized tomography (CT) image of at least a part of a body of a patient. A location and orientation of at least one virtual camera are specified within the common frame of reference. Coordinates of a medical tool moving within a passage in the body are tracked using the position sensing system. A virtual endoscopic image, based on the 3D CT image, of the passage in the body is rendered and displayed from the specified location and orientation, including an animated representation of the medical tool positioned in the virtual endoscopic image in accordance with the tracked coordinates.

Abstract: In general, medical sheath systems that can employ retainer devices having a plurality of channels configured to retain a sheath assembly in one or more curved configurations are described. In one embodiment, a retainer device may releasably retain a curvable tube of the sheath assembly in any of multiple curved configurations that range, for example, in selectable increments between 0° to 180°.

Abstract: A catheter for a hepatic artery introduced from an arm of a patient includes a first bent portion, a second bent portion distal of the first bent portion and bent to the same side as the first bent portion, a third bent portion disposed on a distal side of the second bent portion and bent to an opposite side from the second bent portion, and a most distal end portion disposed distal of the third bent portion, in which a minimum radius of curvature of the first bent portion is larger than a minimum radius of curvature of the second bent portion. The most distal end portion is directed to a common hepatic artery and the first bent portion comes into contact with an aorta wall on an opposite side from a celiac artery when the second bent portion contacts a blood vessel wall of the celiac artery.

Abstract: The steerable catheter invention facilitates the tracking and selection of branch vessels, as well as provide the means for stiffening the catheter body across the tortuosity to anchor the catheter and minimize the potential for the catheter backing out of position while delivering interventional devices to the distal anatomy.

Abstract: A deflectable catheter shaft with compression resistance coils configured to create different curve shapes when the catheter is steered or deflected in different directions. One or more compression resistance coils may include an elongated-pitch section. The compression resistance coils may be pull wire compression coils or body compression coils.

Abstract: A rapid exchange microcatheter for accessing the intracranial neurovasculature. A side opening through the sidewall is located a first distance proximal to the distal-most tip. A proximal opening located proximal to the side opening is a second distance from the distal-most tip. A distal, reinforced catheter portion extends between a distal end region to a point near the side opening. A proximal, reinforced catheter portion extends a distance from a point near the side opening towards the proximal end of the catheter body. The side opening is positioned within a gap between a proximal end of the distal reinforced catheter portion and a distal end of the proximal reinforced catheter portion. A payload of a cerebral treatment device is housed within the lumen proximal to the side opening. Related devices, systems, and methods are disclosed.

Abstract: Apparatus, including a tube having a proximal end, and a distal end for insertion into a body cavity including anatomical structures, and a blade mounted at the distal end. The apparatus also includes a handle at the proximal end and including a device which generates sensible outputs upon receiving activation signals, and a position sensor fixed in a predefined disposition relative to the tube. The apparatus additionally includes a processor configured to acquire an image of the cavity, to determine, in the image, locations for each of the structures, to receive, from the sensor, a position signal indicative of a blade location of the blade within the cavity, to determine, based on the blade location and the respective structure locations, a proximity of the blade to a given structure, and to convey, to the warning device, a given activation signal in response to the proximity to the given structure.

Abstract: Distal access aspiration guide catheter system and methods for delivering implantable devices, catheters, or substances in or near and/or restoring flow through body lumens, such as blood vessel lumens are described. A distal access aspiration guide catheter having a proximal, medial, and distal possessing high flexibility, high resistance to kinking and a large lumen to wall thickness ratio.

Abstract: In some examples, a catheter body includes an outer jacket positioned over a structural support member. A proximal portion of the structural support member comprises a straight or tapered polymer hypotube and a distal portion of the structural support member comprises a distal support member that is more flexible than the polymer hypotube. In some examples, the polymer hypotube defines one or more openings, through which an adhesive may be introduced between the polymer hypotube and an inner liner of the catheter body.

Abstract: Apparatus, including a guidewire having a distal end, that is configured to be inserted into proximity with a nasal sinus of a patient, the guidewire having a lumen. The apparatus also includes an optic fiber, traversing the lumen, configured to illuminate the distal end, and a coil, wound around the optic fiber and located within the lumen at the distal end, configured to generate a signal in response to a magnetic field interacting with the coil. A processor is configured to receive the signal and to evaluate a location of the distal end in response to the signal.

Abstract: An instrument for crimping a suture fastener to a surgical suture is disclosed. The instrument has a shaft and an expanded receiving face configured to receive the suture fastener and to provide a smoothing radius for a distal end of the shaft. The instrument also has an anvil in the distal end of the shaft. The instrument further has a hammer in the distal end of the shaft and moveable relative to the anvil for crimping the suture fastener therebetween and received in the expanded receiving face. The instrument also has a pusher moveable in a direction substantially parallel to a longitudinal axis of the shaft and configured to engage at least one of the hammer and the anvil for urging the hammer and the anvil together.

Abstract: A guiding catheter and method of its use are presented wherein the catheter includes an elongate catheter shaft having a proximal region and a distal region and a length. The shaft defines a distal region and includes a distal tip. The distal region defines an arc of approximately 180 degrees and having a radius of 0.3 inches to 0.6 inches. The distal tip forms a half turn of a left-hand helix having a pitch of 0 inches to 0.4 inches. The unique shape of the distal region allows the distal tip be perpendicularly aligned with the septal wall of the right atrium at the His bundle location when the catheter is advanced therein.

Abstract: Disclosed herein are various vascular sheath embodiments for use in the introduction of interventional devices into a blood vessel of a patient. More specifically, disclosed herein are embodiments of a vascular sheath having at least one side access opening and at least one flexible area substantially adjacent to the side access opening.

Abstract: A transseptal needle or punch is described wherein the distal end of the transseptal needle is able to articulate laterally out of the longitudinal axis of the steerable transseptal needle. The transseptal needle includes a blunted distal end configuration that is minimally traumatic. Under control by the user or a computer, the transseptal needle can be articulated to generate various curves with high bending force. The transseptal needle is configured for use with an introducer which can also include side windows.

Abstract: The present document describes a pressure guidewire. It comprises a shaft tube having a proximal section and a sensor housing having a distal end, the proximal section and the sensor housing being the continuity of the same shaft tube. A fiber optic pressure sensor is embedded in the sensor housing and comprises an optical fiber extending within the sensor housing, the sensor adapted to measure a pressure of a fluid which is substantially applied in an axis collinear with the longitudinal axis of the guidewire. A marker band, to help in localizing the pressure guidewire in a patient's vessels, is embedded inside the sensor housing and fixed to the optical fiber for holding the pressure sensor inside the sensor housing.

Abstract: A device and its method of use eliminates or reduces the gap between a catheter and guide wire that can otherwise contribute to a catheter getting stuck within the vasculature. The device is maintained at or near the distal end of the catheter while being advanced through the vessels of a patient. The reduced gap size prevents the catheter from otherwise “catching” on various structures of a vessel, such as a bifurcation.

Abstract: Systems, methods, and devices are provided for the treatment of edema. In one aspect a method for implanting an indwelling catheter within a vein of a patient is provided. The catheter can extend from a position upstream of at least one outflow port of a duct of the lymph system to a terminal position downstream of the at least one outflow port. In use, a first restriction can be created within the vein proximal to a distal region of the catheter. The first restriction can define a localized low pressure zone distal of the restriction and within a portion of the vein housing the catheter. The low pressure zone can be adjacent to the at least one outflow port to enable fluid to pass from the at least one lymph duct outflow port into the vein.

Abstract: An embryo transfer catheter or other medical device has a shaft extruded with two layers. The outer layer is relatively thick and contains gas bubbles sufficient to increase the visibility of the catheter under ultrasound observation but with a density that allows material within the catheter to be viewed by the eye. The inner layer is relatively thin and is free of bubbles so that it provides a smooth bore to the catheter.

Abstract: Systems and methods are provided for imaging cardiac tissue using fluorescent dyes delivered into tissue. A distal end of an imaging device may be introduced into a chamber of the heart, and fluorescent dye may be delivered into one or more body lumens in the heart such that the dye is absorbed by cardiac tissue adjacent the chamber. Images of the cardiac tissue adjacent the chamber may be acquired using the imaging device, the dye enhancing identifying cardiac electrical activity within the cardiac tissue. Optionally, based on the identified cardiac electrical activity, tissue within the heart may be ablated or otherwise treated.

Abstract: An instrument for crimping a suture fastener to a surgical suture is disclosed. The instrument has a shaft and an expanded receiving face configured to receive the suture fastener and to provide a smoothing radius for a distal end of the shaft. The instrument also has an anvil in the distal end of the shaft. The instrument further has a hammer in the distal end of the shaft and moveable relative to the anvil for crimping the suture fastener therebetween and received in the expanded receiving face. The instrument also has a pusher moveable in a direction substantially parallel to a longitudinal axis of the shaft and configured to engage at least one of the hammer and the anvil for urging the hammer and the anvil together.

Abstract: Provided is a junction structure between a first tubular member and a second tubular member, and a catheter including the junction structure. An interface between the first tubular member and the second tubular member has an uneven shape in the longitudinal direction of the junction structure along a circumferential direction of the first tubular member and the second tubular member. At least one of the first tubular member and the second tubular member includes a protruding portion that protrudes into the other tubular member only between an inner periphery of the other tubular member and an outer periphery of the other tubular member. The joining strength of the junction structure is improved against a pressure in the radial direction.