Abstract: A transcatheter occluder device for closing an opening in a tissue wall includes a body member formed of an open cell polymer foam capable of holding a predetermined occluder shape and being resiliently compressible for transcatheter deployment. The occluder device includes a pair of spaced-apart disks interconnected by a narrow neck portion. Grip means are provided in the neck portion to releasably engage a guide wire for deployment of the occluder device through a catheter.

Abstract: An exchange accessory useful with monorail and other types of catheters has a hollow, elongated sleeve for insertion into a Tuohy-Borst connector or the like, and an enlarged head at its proximal end to restrain the sleeve from advancing with the catheter into the connector. The sleeve is slidably mounted on the catheter shaft so that it may be interposed between a sealing member within the connector and the catheter. The internal diameter of the sleeve is greater than and complementary with the external diameter of the catheter shaft to define a space about the catheter shaft sufficient to allow backbleed of blood therethrough in a controlled manner. In one embodiment, the sleeve has a slotted head to accommodate a guidewire which may extend in parallel to the catheter shaft, for example, when used with a monorail type catheter. The slot permits the guidewire to extend proximal to the connector without bending or kinking.

Abstract: A balloon dilatation catheter comprising an elongated tubular shaft and an inner tube defining inflation and guide wire lumens. A dilatation balloon is mounted on the distal end of the tubular shaft and communicates with the inflation lumen. The guide wire lumen extends through the balloon. A stiffening wire is positioned within the tubular shaft and has a proximal end secured in the proximal portion of the catheter. The distal end of the stiffening wire is anchored within the inner tube in an area adjacent the guide wire entrance port. The stiffening wire maximizes strength to the proximal portion of the catheter while maintaining flexibility in the distal end of the catheter as well as the balloon.