Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device and a plurality of anchor assemblies. The delivery system is configured to deliver a first anchor using loaded energy and reload the energy required to deliver an addition anchor.

Abstract: This patent document discloses perfusion catheters and related methods for treating blood vessel lesions and abnormalities. A perfusion catheter can include an inflatable balloon, an elongate shaft operably attached to the balloon, and an optional containment structure surrounding at least a portion of the balloon. The balloon can be inflated until its outer surface contacts a wall of a blood vessel. When inflated, the balloon's inner surface defines a passage for blood to flow. The balloon can be configured to release one or more substances formulated to treat a tissue at or near the wall of a blood vessel. In an example, the balloon can include a bioactive layer, which comprises the one or more substances, overlaying an optional base layer. In an example, the balloon can include multiple filars, at least one of which is configured to elute the one or more substances through a perforation or hole in the filar.

Abstract: Perfusion catheters and related methods for treating complications related to CTO interventions or dilating a vessel occlusion while maintaining a passage through the treated vessel segment are disclosed. A perfusion catheter can include a balloon formed of an inflatable tube and an elongate shaft having a lumen for providing inflation fluid to, or withdrawing inflation fluid from, the balloon. The inflatable tube can be coiled in a helical manner around a central axis into a series of windings. Adjacent windings can be stacked against and bonded to each other, and an inner surface of the series of windings, when inflated, can define the passage. The elongate shaft can be eccentrically attached to the balloon and the shaft's lumen can be in fluid communication with the interior of the balloon, specifically the inflatable tube. The inflatable tube can include two different polymer tubes, one slightly smaller than the other.

Abstract: Split support catheters, loading tools, and methods of use are disclosed. A support catheter can include an elongate tubular member and a push member. The tubular member can comprise a longitudinal slit configured to accommodate the exchange of various interventional devices into and out of the lumen defined by the tubular member. A loading tool can comprise a body member, a rod member, or both and can facilitate loading of the support catheter onto one or more interventional devices during a medical procedure. The support catheters can provide intravascular support to various interventional devices and can advantageously be inserted and removed without first removing an interventional device having its distal end at or near a target site within a patient's vasculature.

Abstract: An oxygen mask may include a convex shell having an upper portion and a lower portion and defining a chamber, a rim at least partially around the chamber, a nasal access port in the upper portion, and an oral access port in the lower portion. The nasal access port that is penetratable and/or puncturable to provide access to the chamber, and the oral access port may include a bite block defining a lumen and a valve in the lumen. The oxygen mask may include an inlet into the chamber, an outlet from the chamber, and a sampling port in communication with the chamber. The oxygen mask may include at least one fold or crease configured to allow the bite block to tilt relative to the horizontal axis and/or to translate along the vertical axis.

Abstract: A vascular closure device is configured to seal a puncture in an artery or vein. The vascular closure device includes a deployment assembly having a proximal end and a distal end opposite the proximal end, a suture carried by the deployment assembly, and a footplate carried by the deployment assembly and coupled to the suture. The footplate is configured to exit the distal end of the deployment assembly for deployment in the puncture. The vascular closure device includes a retraction assembly coupled to the footplate, the retraction assembly configured to, after deployment of the footplate, retract the footplate in a proximal direction.

Abstract: A guide extension catheter can comprise an elongate tube member, a push member, and a concave track. The elongate tube member can define a lumen and three distinct portions of different diameter. A distal portion can define a first diameter, a proximal portion can define a second diameter which is larger than the first diameter but smaller than a lumen of a guide catheter with which the guide extension catheter is used, and a tapered portion, positioned between the distal portion and the proximal portion, can have a variable diameter. The push member can be eccentrically coupled relative to the tube member and extends proximally therefrom for slidably positioning the tube member within and partially beyond a distal end of the guide catheter. The concave track forms a transition between the tube member and the push member, and defines a partially cylindrical opening leading into the tube member.

Abstract: Split support catheters, loading tools, and methods of use are disclosed. A support catheter can include an elongate tubular member and a push member. The tubular member can comprise a longitudinal slit configured to accommodate the exchange of various interventional devices into and out of the lumen defined by the tubular member. A loading tool can comprise a body member, a rod member, or both and can facilitate loading of the support catheter onto one or more interventional devices during a medical procedure. The support catheters can provide intravascular support to various interventional devices and can advantageously be inserted and removed without first removing an interventional device having its distal end at or near a target site within a patient's vasculature.

Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device including a flexible portion that is suited to access target anatomy. The flexibility of an elongate portion of the delivery device can be varied. Additionally, the delivery device can include structure that maintains the positioning of the delivery device in patient anatomy.

Abstract: An apparatus for transferring mechanical energy in a handle to a cartridge to manipulate tissue or anatomical structures within the body of a human or animal subject for the purpose of treating diseases or disorders. The handle and cartridge contain safety interlocks.

Abstract: A vascular closure device includes a release component, a delivery component, a sealing device and at least one actuator. The release component is elongate along a longitudinal direction, and defines a distal end and a proximal end. The delivery component extends along the release component such that at least the release component is movable relative to the delivery component. The delivery component includes a delivery tube body and defines a delivery tube channel. The sealing device has a toggle that is at least partially disposed within the release tube, a suture that is attached to the toggle and extends through the delivery tube channel, and a plug that is attached to the suture proximal to the toggle.

Abstract: A system for treating internal bleeding via application of a heated irrigant, such that the heated irrigant is delivered at a flow rate of between 2 cc/s and 12 cc/s and at a temperature of between 46 degrees Celsius and 52 degrees Celsius.

Abstract: Methods for sealing a percutaneous puncture in a wall of a body passageway are disclosed herein. The methods include inserting a deployment instrument into the puncture via a toggle along the guidewire, and actuating the deployment instrument to move the first component and the second component relative to each other such that the toggle abuts the wall of the artery proximate the puncture to seal the puncture.

Abstract: Guidewires and methods for transmitting electrical stimuli to a heart and for guiding and supporting the delivery of elongate treatment devices within the heart are disclosed. A guidewire can comprise an elongate body, including first and second elongate conductors, and at least first and second electrodes. A distal end portion of the elongate body can include a preformed bias shape, such as a pigtail-shaped region, on which the first and second electrodes can be located. The preformed bias shape can optionally be non-coplanar relative to an intermediate portion of the elongate body. The first and second elongate conductors can be formed of a single structure or two or more electrically connected structures. The conductors can extend from proximal end portions to distal end portions that electrically connect to the first and second electrodes.

Abstract: Disclosed are puncture sealing systems and methods of locating a puncture site within a vessel. The systems can include puncture locating dilators and access sheaths that are configured to locate the puncture site within a vessel so that the position of the puncture site relative to a distal end of the access sheath is known during a puncture sealing procedure.

Abstract: The present technology relates generally to devices and methods for closing percutaneous punctures, and more particularly to a multi-lumen tamper for such a device. A vascular closure device for sealing a percutaneous puncture in a wall of a body passageway is disclosed, the vascular closure device including a plug configured to engage a surface of the puncture; a suture configured coupled to the plug; a locking member configured to engage the plug; and a tamper comprising a first lumen and a second lumen.

Abstract: Implant delivery systems are configured to deploy multiple implants into targeted tissue within a patient without disengaging a delivery component of the systems from its insertion site in the patient. Various combinations of spooling assemblies, spring-loaded features, manifolds, indexing mechanisms, gearings, and manually engageable actuators operate to deploy the implants in a controlled, serial fashion. Implants or portions thereof are pre-loaded into the handle assemblies of the delivery systems or contained in removable cartridges configured for coupling to the handle assemblies.

Abstract: Implant delivery systems are configured to deploy implants into targeted tissue within a patient. The targeted tissue includes at least a portion of a prostate gland, and the implants are configured to compress or retract the tissue. Implant delivery systems include handheld components. Irrigation systems control fluid inflow and outflow at the treatment site. Sheath devices deliver irrigant to a treatment site within a patient, and elongate shaft devices remove contaminated irrigant, blood, and debris. Visualization systems provide an unobstructed view of the treatment site during implant deployment.

Abstract: A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device and a plurality of anchor assemblies. The delivery system is configured to deliver a first anchor using loaded energy and reload the energy required to deliver an addition anchor.

Abstract: A transurethral system for delivering and depositing fiducial markers usable to delineate the prostate during radiation therapy includes at least one implant or anchor assembly featuring a first anchoring component, a second anchoring component, and a connector. A delivery device featuring a handle assembly, an actuator, and an elongate member delivers the implant or anchor assembly to an interventional site.