Abstract: A catheter, for example, a balloon catheter has a first and second section and a transition between the sections. The sections and the transition are arranged to enhance catheter deliverability.

Abstract: Balloons for medical devices, particularly balloon agioplasty catheters, which have hybrid compliance curves in which growth rate slows at higher pressures are made from block copolymer thermoplastic elastomers.

Abstract: A multi-section filamentary stent comprises a braided section, which is a cylindrical mesh of a first set of filaments, connected to at least one wound section comprising a second set of one or more filaments having a repeating configuration with a bent portion. The two sections are preferably connected by at least one continuous filament extending into both sections. The two sections may be connected by a weld, a suture, a common graft, an overlapping portion of the two sections, or one or more filaments of one section looping through portions of the other section. The stent may comprise a first section, having a braided first stent architecture with a first flexibility and a first radial force, and a second section, having a non-braided second stent architecture with a second flexibility less than the first flexibility and a second radial force greater than the first radial force, in which at least one continuous filament is integral to both the first and second sections.

Abstract: An embolic protection filter assembly and method of assessing the size of an intravascular lesion. The filter assembly may include an elongate sheath having one or more marker members coupled thereto. The assembly may also include an elongate shaft having a filter coupled thereto.

Abstract: Medical devices and methods of manufacturing medical devices. The medical devices include an elongate member having a proximal portion and a distal portion and a connector assembly disposed adjacent the elongated member to connect the proximal and distal portions, the connector assembly including a radiopaque marker.

Abstract: Distal protection filter retrieval devices and methods of retrieving a distal protection filter. A filter retrieval catheter may comprise an inner tube, an outer tube disposed over the inner tube, an annular lumen disposed between the inner tube and the outer tube, and a tapered member coupled to the lumen. The tapered member may be movable between a first position for passing a lesion and a second position retrieving a filter.

Abstract: A sheath for delivering and/or retrieving an embolic protection filtering devices. The sheath may include a proximal portion and a distal portion. The distal portion may be expandable and may include a bulbous member or region. Additionally, the sheath may include structural support in a number of different forms.

Abstract: A guide wire including a lubricous distal portion and a less lubricous intermediate portion proximal of said distal portion. One guide wire provides a highly lubricous distal portion with a hydrophilic layer and a less lubricous intermediate portion with a hydrophobic layer. Another guide wire provides a lubricous distal portion with a polymer tip that is itself hydrophilic. Yet another guide wire provides a less lubricous intermediate portion using a stainless steel coil helically wound around the tapering intermediate portion. The coil is preferably coated with a hydrophobic coating such as PTFE or silicone. The coil can either abut the distal portion proximal end or extend into the distal portion interior.

Abstract: A graft, for example, an arterio-venous shunt graft, is provided, which in a first aspect of the subject invention, is formed with longitudinal ribs. With fibrotic tissue ingrowth between the ribs, a composite rib/tissue layer is formed about the graft. The ribs provide counteracting lateral force against the embedded tissue to seal punctures formed therethrough during hemodialysis procedures. To provide additional surface area for puncturing, the graft may be formed with a truncated cross-section. With a second aspect of the invention, the graft is mounted onto a strip to prevent kinking, twisting or bending during an implantation procedure.

Abstract: A medical assembly and method are provided to effectively treat abnormal tissue, such as, a tumor. The target tissue is thermally ablated using a suitable source, such as RF or laser energy. A cooling shield is placed in contact with non-target tissue adjacent the target tissue, and actively cooled to conduct thermal energy away from the non-target tissue. In one method, the cooling shield can be placed between two organs, in which case, one of the two organs can comprise the target tissue, and the other of the two organs can comprise the non-target tissue. In this case, the cooling shield may comprise an actively cooled inflatable balloon, which can be disposed between the two organs when deflated, and then inflated. The inflatable balloon can be actively cooled by pumping a cooling medium through it. In another method, the cooling shield can be embedded within the non-target tissue. In this case, the cooling shield can comprise one or more needles.

Abstract: An embolic protection filtering device and method of making and using the same. The present invention comprises a filtering device including an elongate shaft and a filter that may be releasably attachable to the shaft. The filter may include a coupling member that may be used to secure the filter to the shaft.

Abstract: A method for treating morbid obesity in a body of a mammal having a gastrointestinal tract extending through a stomach and a pyloric sphincter and a wall forming the stomach and pyloric sphincter. At least one implant is formed in the wall in the vicinity of the pyloric sphincter to inhibit emptying of the stomach.

Abstract: A catheter is provided for insertion in the he blood vessel of a patient for ultrasonically imaging the vessel wall. The catheter includes a tubular element and an internally housed drive cable for effective circumferential scan about the catheter of an ultrasonic generating means. Both the tubular element and the drive cable are of a size and flexibility sufficient to permit their introduction into the vessel and subsequent advancement through the vessel to the location of the vessel wall where imaging is desired.

Abstract: A method of treating tissue includes placing substantially spherical polymer particles in the tissue. The particles include an interior region having relatively large pores and a first region substantially surrounding the interior having fewer relatively large pores than the interior region.

Abstract: A delivery sheath for an intravascular emboli capturing filter including an elongate tube having a distal region having a reduced thickness distal wall region. The delivery sheath, according to the present invention, can have a thinner, softer, distal most portion for superior and more benign interaction with vessel interior walls. The present invention includes an intravascular emboli filter system including an elongate shaft having a distal region, an expandable emboli filter operably coupled to the elongate shaft distal region, and an elongate sheath having a lumen therethrough disposed over the elongate shaft. The elongate sheath can have a distally decreasing outside diameter taper or reduced wall thickness region having improved atraumatic characteristics.

Abstract: A medical probe assembly and method for ablating tissue using radio frequency energy. The medical probe assembly includes an elongated shaft, a needle electrode array, and a hinged handle. The handle has a collar, which when in the up position covers the hinge so that the device can be used as a conventional medical probe. When the collar is in the down position the hinge is exposed, and the handle can be bent to reduce its overall height. With this reduced height the probe can be used while a patient is lying in a CT scanner or an MRI chamber. Therefore, the surgeon can monitor the ablation during the procedure, and thus avoid unnecessary damage to the surrounding healthy tissue on the one hand, and insufficient ablation of the diseased tissue on the other hand. An alternate embodiment uses a flexible handle instead of a hinged one.

Abstract: The present invention provides a polymeric treatment for curved regions in shaft assemblies that increases curve retention without affecting the flexibility within these regions. More specifically, the present invention modifies the underlying crystalline morphology of a polymer in order to decrease crystal fracturing. In particular, the present invention treats polymeric materials suitable for catheter construction with a nucleating agent.

Abstract: Diffraction grating based fiber optic interferometric systems for use in optical coherence tomography, wherein sample and reference light beams are formed by a first beam splitter and the sample light beam received from a sample and a reference light beam are combined on a second beam splitter. In one embodiment, the first beam splitter is an approximately 50/50 beam splitter, and the second beam splitter is a non 50/50 beam splitter. More than half of the energy of the sample light beam is directed into the combined beam and less than half of the energy of the reference light beam are directed into the combined beam by the second beam splitter. In another embodiment, the first beam splitter is a non 50/50 beam splitter and the second beam splitter is an approximately 50/50 beam splitter. An optical circulator is provided to enable the sample light beam to bypass the first beam splitter after interaction with a sample.

Abstract: In one embodiment, the stent delivery system comprises an inner catheter. A handle is disposed at the proximal end of the inner catheter, and an enlarged tip is disposed at the distal end thereof. A stent engaging sleeve coaxially surrounds and is secured to a portion of the inner catheter proximally contiguous to the tip. A stent is mounted over the stent engaging sleeve in a longitudinally stretched state and is maintained, until deployment, in the stretched state by a stent restraining sleeve. The stent restraining sleeve, which coaxially surrounds the stent and is appropriately sized to maintain the stent in its stretched state, is a braided tube formed directly over the stent. The system also includes an outer catheter that surrounds much of the distal end of the inner catheter up to its tip, the outer catheter being adapted for axial movement relative to the inner catheter.

Abstract: A tubular extruded member particularly suitable for use in medical devices such as intravascular catheters and guide wires, wherein the extruded tubular member includes multiple layers having biaxial helical orientation in different directions. A counter-rotation extrusion process may be used to orient the layers in different biaxial helical directions. The counter-rotation extrusion process provides orientation in two different circumferential directions in addition to a longitudinal direction. By combining the dual direction or biaxial helical orientation with multiple layers, different layers of the tubular member may be tailored to have the desired mechanical properties.