Abstract: An expandable percutaneous introducer sheath is disclosed which can be selectively enlarged to accommodate a range of sizes of interventional devices. The introducer sheath can retain an enlarged size without requiring an additional support member. The introducer sheath comprises an outer tube which contains expandable gaps along the length of the outer tube, expandable leaflets which are connected to the outer tube, an inner tubular member which is insertable into the outer tube, and a detent means to retain the enlarged size of the outer tube. The outer tube has a cross-sectional profile which is both kink resistant and minimizes the size of the puncture wound in the vasculature by providing a helix in the outer tube. An inner tubular member is inserted into the lumen of the outer tube and, because of the interference fit of the lumen outer tube to the outer diameter of the inner tubular member, the lumen of the outer tube enlarges at the expandable gaps.

Abstract: A guidewire for use in a catheter comprising a unitary core wire, a distal tip and an elongate tube. The core wire has a body segment and a transition segment, the body segment being of substantially uniform outer diameter with a distal end serially disposed proximal to the transition segment proximal end, the transition segment being more flexible than the body segment, and progressively reduced in cross-section from the body segment. The smoothly rounded distal tip is affixed to the distal end of the transition segment. The elongate tube defines a tube lumen, the core wire transition segment extends longitudinally through the tube, the tube having a uniform outer diameter equal to the outer diameter of the body segment, the proximal end of the tube being affixed to the proximal end of the transition segment, the distal end of the tube being affixed to the distal tip. The tube may be formed of a super-elastic metallic member or formed from a synthetic resin. The tube wall thickness is preferably between 0.

Abstract: The present invention comprises a catheter method of manufacture. The method includes the provision of a subassembly of a lubricious liner and reinforcement. Over the subassembly, a shaft tube, transition tube, and soft tip tube are placed in an abutting relationship to each other, forming an assembly. A first tube of heat shrink is advanced over the assembly, heat is applied to fuse the assembly, and the first heat shrink is removed. Subsequently, the soft tip of the catheter is shaped using a second tube of heat shrink, which is placed over the distal end of the assembly. Heat is applied to the second heat shrink to cause the tip material to flow and to draw the tip material over the distal end of the lubricious liner. The second heat shrink is removed, completing the catheter manufacture.

Abstract: The present invention comprises a catheter and method of manufacture. The catheter includes an elongated core having a unitary lubricous liner and a reinforcement. The lubricous liner defines at least one lumen. The lubricous liner has the reinforcement over the its outer diameter and fused to the lubricous liner. The reinforcement terminates proximal to the distal end of the lubricous liner. The catheter also has an elongated shaft tube which defines a shaft tube lumen. The shaft tube lumen is sized to receive the core, the core which extends longitudinally through the shaft tube lumen. The shaft tube is fused to the core. The catheter also has an elongated transition tube which defines a transition tube lumen. The transition tube lumen is sized to receive the core which extends longitudinally through the transition tube lumen. The distal end of the shaft tube is fused to the proximal end of the transition tube. The transition tube is made of softer material than the shaft tube and is fused to the core.

Abstract: An apparatus and method of making a thinwall guide catheter useful in delivery of therapeutic devices through a body vessel. The method comprises braiding a flat wire over the surface of a cylindrical core, placing a heat bondable polymer tube over the braid, surrounding the polymer tube with a heat shrink sleeve, heating the assembly to a temperature and for a time period sufficient to expand the core into braid interstices and bond the polymer tube to substantially only the outer surface of the braid and finally removing the heat shrink sleeve and core. The resulting guide catheter has approximately half the wall thickness of prior guide catheters and has excellent column stiffness and kink resistance.

Abstract: The present invention relates to a guidewire which comprises an elongated core of a substantially solid cross-section having a distal end portion, the distal end portion having a plurality of notches therein, the notches having a depth of 5-25% of the diameter of the proximal end. The proximal end of the guidewire has a diameter in the range of 0.005-0.040 inches, the notches defining a continuous helix with a constant depth. The guidewire also comprises a helically wound spring, the spring having a plurality of coils defining a lumen. At least part of the distal end portion of the elongated core being received within the lumen.