Abstract: Medical devices for navigation through anatomy, including guidewires, which may have a core wire, a slotted tubular member, or both. Embodiments may have coils, including non-circular cross-section edge-wound marker coils, extended coil tips, and soldered or glued mesial joint coils. Core wires may have a step, ridge, or taper at the joints to the tubular member, and may be flattened at the distal tip. Radiopaque material may be located inside the tubular member, and the distal tip may be heat treated to make it shapeable. Additional tubular members or coils may be used concentrically or in line and may enh in depth radunequal in depth opacity, reduce friction, or reduce material or manufacturing cod in groups, such as groups of three, and may be equally spaced around the axis or offset to provide a steerable or compressible tip.

Abstract: A medical device or intravascular device, and methods of use. The devices may be tubular and may have a flexible polymer tip The body may be nitinol and may have cuts part way through along its length to facilitate bending The device may have a liner which may extend through the tip or form the tip The device may have markers readily visible on an X-ray viewer during insertion. The tip may have an anti-collapsing structure and may be shaped before use to perform a medical procedure such as treating an aneurysm. The device may have a strong fiber through it for complete removal. The method may include selecting the device, bending the tip, setting the shape, and inserting the device into the patient's anatomy. The shape of the tip may be set by heating with steam and then removing a mandrel.

Abstract: Apparatus for delivering fluids to blood vessels, body cavities and the like, includes a resilient tubular wire for threading lengthwise into the lumen of a catheter and out the distal end thereof to a target location of a body passageway to be treated. The tubular wire has a central lumen and a distal end formed into a coil, which, when straightened, may be threaded lengthwise through the catheter, but when extended out the distal end of the catheter at the target location, resumes its coiled shape. The tubular wire includes openings at least on the outside of the coils for discharging radially outwardly medication carried in the lumen of the wire. In this manner, the medication may be directed toward the wall of the passageway to infuse a diseased area being treated.

Abstract: A hybrid catheter guide wire includes an elongate solid body having a tapered distal end over which is disposed a tubular section—about which a catheter may be threaded for guidance to a target location in a vasculature passageway of a body. Cuts are formed either by saw-cutting, laser cutting or etching at spaced-apart locations along at least a portion of the tubular section to increase its lateral flexibility, while maintaining its rotational torquability, and to control the direction and degree of flexure.

Abstract: A catheter guidewire includes an elongate solid body about which a catheter may be threaded for guidance to a target location in a vasculature passageway of a body. The elongate body includes a proximal end and a distal end, with the distal end being curved. Cuts are formed either by saw-cutting, laser cutting or etching at spaced-apart locations along the length of the body to increase its lateral flexibility. Integral beams are also formed within the body to maintain its torsional strength. The relative location and size of cuts and beams may be selectively adjusted so as to control the direction and degree of flexure, and the change in torsional stiffness relative to flexibility.

Abstract: Apparatus and method are disclosed by which a hollow distal end portion of a wire may be deposited at selected sites in body passageways. The apparatus includes an elongate wire (solid or hollow) having a distal end section for detachment and delivery to a target location, the wire also having a discontinuity located rearwardly of the distal end section for rupturing when vibrational energy is applied to the wire. The discontinuities may take the form of cuts formed in the wire, reduced diameter sections in the wire, adhesive, welded or soldered couplings between the wire and the distal end section, or the wire transitioning from the wire to a large mass disposed on the distal end section. A catheter is coupled to or surrounds the elongate wire to deliver therapeutic liquid to a target body location.

Abstract: Apparatus for injecting fluids into the walls of blood vessels, body cavities, and the like, includes a plurality of laterally flexible needles disposed in a catheter for exit either out the distal end of the catheter or the catheter or through corresponding side openings in the catheter. In the latter case, the terminal ends of the needles would be curved laterally, with each terminal end being positioned in a respective side opening so that when the needles were moved forwardly in the catheter, the terminal ends of the needles would move laterally out the respective openings to pierce a vessel or cavity wall adjacent to which the catheter was positioned. Hilts positioned near the terminal ends of the needles serve to control the depth of penetration of the needles.

Abstract: A micromachined stent includes an elongate resilient wire formed into a coil for threading lengthwise into and through a catheter for ultimate discharge from the end of the catheter, to a target location in a blood vessel or body duct. When discharged, the wire resumes a coil form to hold the vessel or duct walls apart. Selective preferential flexibility is provided in the wire by placement of generally transversely formed cuts on the exterior of the wire.

Abstract: A device and method for irradiating with a desired radioactive emission the interior walls of blood vessels, body cavities and the like. The device includes a catheter for placement in the blood vessel, body cavity or the like, adapted for disposition adjacent the walls thereof. The distal end of the catheter is preferably configured to expand into a helical coil shape when unconstrained, but may be straightened when constrained within a second catheter. The catheter includes a section which is opaque to the radioactive emissions in question, and a wire slidably disposed therein for threading selectable distances into the catheter. A radioactive source is positioned at the distal end of the wire, and when positioned within the radio-opaque section of the catheter, radioactive emissions arc blocked from reaching adjacent tissue, allowing the radiation source to be safely guided to a target location.

Abstract: A stent for disposition in a body passageway or duct to maintain the duct walls apart, for example, to allow the flow of fluid therethrough, includes an elongate flexible support wire formed into an annular lattice having a central void, for disposition at a target location in the duct. Also included is an elongate flexible connecting wire joined at a distal end to the annular lattice and having a discontinuity for severing when supplied with a perturbation signal, a balloon catheter having an expandable section disposable in the void of the annular lattice so that when the expandable section is expanded, it forces the annular lattice radially outwardly to contact and hold apart the duct walls, and a fluid supply for supplying fluid to the expandable section of the balloon catheter to cause it to expand. A perturbation signal source is provided for supplying the perturbation signal to the discontinuity of the connecting wire to cause severance thereof.

Abstract: Apparatus and method are disclosed by which a distal end portion of a wire may be deposited at selected sites in body passageways. The apparatus includes an elongate wire having a distal end section for detachment and delivery to a target location, the wire also having a discontinuity located rearwardly of the distal end section for rupturing when vibrational energy is applied to the wire. Also included is a vibrational energy source couplable to the proximal end of the wire for selectively applying vibrational energy to the wire to travel to the discontinuity and cause detachment of the end section. The discontinuities may take the form of cuts formed in the wire, reduced diameter sections in the wire, adhesive, welded or soldered couplings between the wire and the distal end section, or the wire transitioning from the wire to a large mass disposed on the distal end section.

Abstract: A hybrid tubular wire includes first and second elongate tubular bodies, fitted end to end, and about which a catheter may be threaded for guidance to a target location in a vasculature passageway of a body. The first elongate body has greater rotational stiffness than the second elongate body, which has greater lateral flexibility. Cuts are formed either by saw-cutting, laser cutting or etching at spaced-apart locations along the length of the second elongate body to increase its lateral flexibility. At least some of the cuts extend through the tubular body to the interior cavity to allow the escape of fluids flowing in the cavity.

Abstract: A catheter, guidewire or other cylindrical object cutting device which includes a base, at least one circular saw blade mounted on a spindle member, and a clamp for manipulating the object to be cut. The at least one circular saw blade is rotatably mounted on the spindle member. The spindle member is free to move vertically and horizontally with respect to the base to thereby control the location, size and depth of the cuts in a cylindrical object disposed adjacent thereto. The clamp is able to hold the object to be cut, as well as rotate it to expose the entire circumference of the object to the saw blade. By releasing the clamp, a pinch roller can advance the object before the clamp is re-engaged to securely hold the object for cutting. Sensors are also provided to enable detection of wear of the saw blade so as to signal needed replacement or adjustment of the saw blade to compensate.

Abstract: A catheter deliverable thrombogenic device includes a catheter for threading into a body vasculature passageway to a target location, and a resilient wire element coiled and shaped to occupy a certain volume when unconstrained, and to straighten when inserted lengthwise into and constrained by the catheter, for ultimate discharge therefrom to expand and occupy the target location. The wire element includes a plurality of cuts on the exterior surface thereof at selected locations to increase the flexibility of the wire element.