Abstract: A system for use in delivering a thrombolytic agent to a firm obstruction in a blood vessel by effecting longitudinal extension of the distal infusion segment of an infusion device through the obstruction as the obstruction is dissolved by the delivery of the thrombolytic agent. The infusion device is inserted into the lumen of an introducer to straighten the distal infusion segment and the assembly is advanced through a selected path in a patient's vascular system to the obstructed site. The distal infusion segment is advanced from a distal end opening of the introducer sheath lumen and assumes the pre-biased J-shaped bend configuration when positioned that tends to present the infusion port in a side wall toward the obstruction. A spring loaded assembly is coupled between the proximal ends of the infusion device and the introducer catheter that applies a force axially along the body of the infusion device against the resistance of the obstruction in contact with the distal infusion segment.

Abstract: A fully exchangeable integrated-wire dilation catheter for performing angioplasty is disclosed having a flexible small diameter guide wire provided with an enlarged diameter distal end portion and a flexible elongated tubular shaft with at least one dual function fluid conducting lumen adapted to receive the guide wire extending therethrough. The distal end of the tubular shaft is connected to the proximal end of an expandable balloon provided with a coaxially aligned distal orifice having means for releasably engaging the enlarged distal end portion of the guide wire in sealing relationship. In a preferred embodiment the sealing means is a flexible sleeve extending from the distal orifice of the expandable balloon and dimensioned to slidingly engage the correspondingly sized enlarged distal end portion of the guide wire. Associated procedures for utilizing the dilation catheter are also disclosed.

Abstract: An integrated catheter stripper is mounted within a modified Y-connector that is used to seal a catheter on a guide wire. The connector is provided with a stripping port that opens into the central bore of the main body of the connector. A catheter slitter is mounted over the guide wire within the central bore of the main body for slitting the catheter as the catheter slides in the proximal direction along the guide wire within the main body. The split catheter is removed through the stripping port, which can be sealed during an angioplasty operation when the catheter is in use.In non-integrated embodiments of the invention the catheter stripper is separate from the Y-connector and has a main body, a blade mounted in the main body, and an arrangement for aligning the catheter with the blade and for permitting mounting and separation of the blade relative to the catheter only by substantially longitudinal movement.

Abstract: A fully exchangeable low-profile single-lumen dual-balloon catheter for embolectomy, dilatation, occlusion, and infusion of treatment fluid, and having an integrated guide wire, includes a flexible small diameter guide wire provided with an distal end valving portion of comparatively enlarged diameter and a flexible elongated tubular shaft with a pair of expandable balloons spaced apart on opposite sides of a waist portion which waist portion includes an infusion section with a perforation in fluid communication with the lumen. The fluid conducting lumen is adapted to perform multiple functions in conjunction with movements of the guide wire converting the catheter to one of several modes of operation by sealing cooperation of the guide wire valving portion with seal portions of the catheter shaft.

Abstract: An integrated catheter stripper is mounted within a modified Y-connector that is used to seal a catheter on a guide wire. The connector is provided with a stripping port that opens into the central bore of the main body of the connector. A catheter slitter is mounted over the guide wire within the central bore of the main body for slitting the catheter as the catheter slides in the proximal direction along the guide wire within the main body. The split catheter is removed through the stripping port, which can be sealed during an angioplasty operation when the catheter is in use.In non-integrated embodiments of the invention the catheter stripper is separate from the Y-connector and has a main body, a blade mounted in the main body, and an arrangement for aligning the catheter with the blade and for permitting mounting and separation of the blade relative to the catheter only by substantially longitudinal movement.