Abstract: A pulsatile aspiration system is herein disclosed that includes a catheter and pump system. The catheter includes an outer wall, a proximal section, a distal section, and an internal wall dividing the proximal section into a central main lumen and an auxiliary lumen. The pump system is in fluid communication with the catheter and independently controls the negative fluid pressure and the positive fluid pressure in the central main lumen and the auxiliary lumen so as to produce at the distal end of the catheter a pulsatile aspiration waveform variable between a maximum aspiration pressure and a maximum positive pressure. The maximum aspiration pressure is producible at the distal end of the catheter when the resulting pressure is exclusively negative fluid pressure, and the maximum positive pressure is producible at the distal end of the catheter when the positive fluid pressure counterbalances that of the negative fluid pressure.

Abstract: Cyclic aspiration system producing an associated cyclic pressurized waveform of intermittent cyclic intervals of vacuum pressure below atmospheric pressure and a positive pressure higher than the vacuum pressure. The system including a vacuum pump generating vacuum pressure, a conduit connected in fluid communication to the vacuum pump, and an aspiration catheter connected in fluid communication to the conduit. Associated with the conduit is a positive pressure pulse generator mechanism that controls via a vacuum pressure gating device passage therethrough the conduit of the vacuum pressure generated by the vacuum pump and intermittently cyclically produces a positive pressure pulse.

Abstract: Cyclic aspiration system producing a cyclic aspiration pressure waveform of intermittent cycles of vacuum pressure below atmospheric pressure and positive pressure higher than vacuum pressure. The system includes a dual pressure generator receptacle disposed proximally of and connected in fluid communication with an aspiration catheter. The dual pressure generator receptacle receiving a collectable fluid therein that is intermittently cyclically subjectable to application or withdraw of a compressible force via a linear displacement mechanism. Positive pressure is generated while the collectable fluid in the dual pressure generator receptacle is subject to the compressive force and vacuum pressure is generated when not subject to the compressive force. The cyclic aspiration pressure waveform is produced via the dual pressure generator receptacle without a separate vacuum pump.

Abstract: An aspiration catheter including a body having a proximal end and an opposite distal tip with a lumen extending in a longitudinal direction therethrough from the proximal end to the distal tip. The aspiration catheter further includes a stabilizing structural member stabilizing the body relative to the inner wall of the vessel to minimize movement and/or radial expansion of the distal tip of the body while subject to aspiration that otherwise may potentially damage the inner wall of the vessel.

Abstract: The disclosed technology includes a clot retrieval device being configured to retrieve a clot from a blood vessel and having a constrained delivery configuration and a clot engaging configuration. The device can include a first expandable framework having a first plurality of struts that form a first body and a second expandable framework having a second plurality of struts that form a second body upon the clot retrieval device transitioning from the constrained delivery configuration to the clot engaging configuration. In the clot engaging configuration, the first body can be configured to move from a first position to a second position in relation to the second body. Upon moving from the first position to the second position, the clot retrieval device can pinch the clot between the first body and the second body.

Abstract: A clot removal device for removing clot from a body vessel comprising an expandable structure and an elongate member. The elongate member can have a proximal end and a distal end, the elongate member being connected to the expandable structure at its distal end. The expandable structure can have a constrained delivery configuration, an expanded clot engaging deployed configuration, and an at least partially constrained clot pinching configuration. At least a portion of the expandable structure can be configured to engage clot in the expanded deployed configuration and to pinch clot on movement from the deployed configuration to the clot pinching configuration.

Abstract: A clot retrieval device that includes a proximal scaffolding section with a closed proximal end and an open distal end; an inner elongate member; and a distal scaffolding section with a closed proximal end and an open distal end element.

Abstract: A clot removal device can include a caged portion which can include a distal end; a proximal end; an inner cage having a network of inner struts; and an outer cage having a network of outer struts. The inner cage and the outer cage can include a delivery configuration within a microcatheter and a deployed configuration distal of the microcatheter operable to retrieve at least a portion of the clot. The device can include a distal pinching portion located proximate the distal end of the caged portion, and a proximal pinching portion located proximate the proximal end of the caged portion, each pinching portion can include at least one pinching cell can include a collapsed state and an expanded state distal of the microcatheter operable to tweeze at least a portion of the clot.

Abstract: A joint assembly for an endovascular device, comprising a shaft comprising a main body and an enlarged end, a proximal strut comprising a slot, wherein the slot engages the enlarged end of the shaft and a locking collar comprising a proximal face and a distal face, and at least partially covering the enlarged end of the shaft and the slot of the proximal strut, such that the locking collar constrains the proximal strut such that the proximal strut cannot disengage from the enlarged end of the shaft when the joint assembly and the clot retrieval device is under load.

Abstract: A catheter system that is actuatable to a deployed state and includes a catheter body and a dilator positioned at least partially within the lumen of the catheter. A distal end of the dilator can be releasably connected to a distal tip of the catheter body. The dilator can be retractable to expand and invert the distal tip and form a funnel shape in the deployed state.

Abstract: A clot removal device comprising an outer cage, an inner cage concentrically positioned within the outer cage, a first elongated member in communication with the outer cage, and a second elongated member in communication with the inner cage. The first elongated member can be attached to a proximal end of the outer cage and configured to move the outer cage between delivery and expanded configurations. The second elongated member can be attached to a proximal end of the inner cage and configured to move the inner cage between delivery and expanded configurations.

Abstract: Devices described herein include a stentriever for removing an occlusive clot. The stentriever can include a membrane cover on the proximal end which can be sized to form a seal with the tip of an intermediate catheter. Clot engagement sections and/or a distal engagement section of the stentriever can also include a full or partial membrane covering to control the direction of aspiration and/or areas where the aspiration applies suction to the thrombus or clot. The membranes can be used to direct the aspiration so as to pull the clot deeper into the clot engagement sections of the stentriever, thereby improving grip on the clot. The design can also increase the effectiveness of clot fragment protection for friable clots by providing pores and/or clot cells in a distal engagement section.

Abstract: A balloon guide catheter including a catheter shaft having a main lumen defined therein extending axially therethrough to receive a guidewire therein and an inflation lumen defined axially therein arranged semi-encircling the main lumen. The inflation lumen having an inlet port radially outward from the catheter shaft and an exhaust vent(s) disposed proximate the distal end of the catheter shaft. The exhaust vent(s) being disposed longitudinally through a distal terminating end of the inflation lumen or radially inward in fluid communication with the main lumen. A porous membrane is disposed at the exhaust vent(s) to permit only gas to pass therethrough. Secured about the outer surface proximate the distal end of the catheter shaft and coinciding with the inlet port is a balloon.

Abstract: Devices described herein include an actuated clot retrieval catheter system. The system includes a catheter having a frame disposed proximate the distal end of the catheter. The frame expands to form a seal with the inner wall of a vessel. In some examples, the frame also captures a clot for removal from the vessel. The frame is manufactured from a shape memory material that can be heat set into a predetermined shape. An electrical connection to an electronic circuit causes a current to run through the frame. The electrical resistance of the shape memory material causes the frame to heat and transition from a martensite to an austenite phase. When the frame is heat set into an expanded configuration, the current causes the frame heat and expand. When the frame is heat set into a closed configuration, the current causes the frame heat and collapse upon a clot.

Abstract: The designs and methods disclosed herein are for a clot retrieval catheter with a large bore shaft and a distal braid-supported tip that is expandable to a diameter larger than the outer sheath through which it is delivered. The distal mouth of the tip can be beveled at an angle inclined from the longitudinal axis of the shaft. The braided tip can be braced with a reinforcing ring which can be welded or overmolded to the distal end of the braid and prevents the tip from collapsing under aspiration forces. The reinforcing ring can have relief features positioned to allow the oblique orientation of the ring to maintain a circular inner channel when the tip is compressed and delivered through a guide sheath and expanded at a target site. The distal tip can be expanded to a profile that is either symmetric or asymmetric with the catheter shaft.

Abstract: A system has an outer catheter and an inner aspirating clot retrieval catheter having an expansile distal tip for flow restriction, improved aspiration efficiency, and a large mouth into which a clot or other obstructions can be retrieved. The clot retrieval catheter can have a support tube proximal of the tip. The expansile tip can be a strut framework, and a flexible, low-modulus cover is disposed around at least a portion of the tip strut framework and the proximal support tube. The distal end of the tip can be encapsulated by a low-friction elastomeric lip for atraumatic contact with the walls of a blood vessel. The tip has a collapsed delivery configuration and expands radially into a deployed configuration. The tip strut framework, support tube, and cover can all have characteristics which enhance the deliverability of the clot retrieval catheter to the target.

Abstract: A balloon guide catheter having a sleeved inflation lumen secured with a wire wrap for improved inflation lumen kink protection and a welded balloon construction provides a robust and flexible catheter with an exceptionally large inner lumen relative to its outer profile and enables rapid and reliable balloon inflation and deflation in a highly deliverable and kink resistant catheter. Balloon guide catheters having multiple sleeved inflation lumens and proximal luers for utilizing the multiple inflation lumens are also provided.

Abstract: A mechanical locking assembly for an endovascular device, comprising a shaft comprising a main body a shaft comprising a main body and enlarged end, an inner channel component comprising a full collar formed on proximal end of the inner channel component, and an outer cage component comprising a partial collar formed on the outer cage component wherein the full collar of the inner channel component fully surrounds the outer cage component and the partial collar of the outer cage component at least partially surrounds the shaft.

Abstract: A clot removal assembly that includes a delivery microcatheter, a cage structure configured to transform between a delivery configuration and an expanded pinching configuration, and a shaft in communication with the cage structure and substantially disposed within the delivery microcatheter is presented herein. The catheter includes a distal portion including an elongate radiopaque indicator, and a proximal portion, and the elongate radiopaque indicator is configured to transform between a substantially straight non-indicating state and a substantially wavy indicating state responsive to an impingement of the cage structure on the delivery microcatheter.

Abstract: A clot removal assembly for removing a clot from a vessel that includes a delivery catheter, a clot retrieval device, and a valve assembly is presented herein. In some examples, the clot retrieval device can include a cage structure and a shaft, and the cage structure can be configured to pinch a clot. A portion of the shaft extends through the delivery catheter. In some examples, the valve assembly can include a distal valve, a main body portion, a distal body portion, and a moveable head shell. The distal valve can be configured to engage the proximal region of the delivery catheter. In some examples, the distal body portion can include a plurality of grooves, and the moveable head can be configured to ratchet proximally over the plurality of grooves to thereby maintain tension on the shaft.