Abstract: A catheter including fluoroscopic marker components disposed in the catheter distal end portion to provide enhanced fluoroscopic visibility of the catheter end portion. Various embodiments of the marker include a cylindrical plug disposed within the catheter tip, a half section catheter tip, a longitudinal stripe along a sidewall of the catheter end portion, and multiple combinations of marker plugs and marker stripes to provide enhanced in vivo fluoroscopically visible catheter disposition information to the physician. An enhanced embodiment of the present invention includes an orientation marker that is disposed on the steering handle, particularly on the control knob, to provide visual and tactile information to the catheter user regarding the direction to manipulate the control knob in order to maneuver the catheter distal end portion.

Abstract: A method and apparatus are described for percutaneous myocardial revascularization of a human heart. A deflectable elongated flexible lasing apparatus is used which includes a source of laser radiation, an elongated flexible radiation conveying member for conducting the laser radiation to a lens on the distal end of the radiation conveying member for focusing the laser radiation, and control lines for deflecting the distal end of the radiation conveying member. The control lines are secured to the distal end of the radiation conveying member for changing the angle of deflection of the distal end of the radiation conveying member. The lasing apparatus is guided to an area within the patient's heart, and the distal end of the lasing apparatus is directed to an area of interest where the inner wall of the heart is irradiated with laser energy to form a channel through the myocardium for a desired distance. In a preferred embodiment, channels are formed without perforating the epicardium of the heart.

Abstract: A balloon for a dilatation catheter having a cylindrically shaped working section and tapered end sections which have essentially the same wall thicknesses. Upon deflation, the balloon collapses to a much smaller profile than conventional dilatation catheters. The balloon is preferably formed from a tubular parison which has a central thick walled portion. The balloon may be employed in dilatation catheters for angioplasty, prostatic urethra dilatations and other intraluminal dilatations.

Abstract: A composite tubular element for intravascular catheters, such as fixed-wire dilatation catheters and guiding and angiographic catheters, which is formed by braiding strands formed from an intimate mixture of polymeric matrix materials, such as fibers and powders, having a relatively low melting point and high strength reinforcing fibers having a relatively high melting point into a tubular element, heating the braided tubular element to melt the low melting point matrix materials and flow around the reinforcing fibers to form a matrix. A thermoplastic jacket or coating may then be extruded or otherwise applied to the exterior of the braided tubular element.

Abstract: A method and apparatus are described for percutaneous myocardial revascularization of a human heart. A deflectable elongated flexible lasing apparatus is used which includes a source of laser radiation, an elongated flexible radiation conveying means for conducting the laser radiation to a lens on the distal end of the radiation conveying means for focusing the laser radiation, and control lines for deflecting the distal end of the radiation conveying means. The control lines are secured to the distal end of the radiation conveying means for changing the angle of deflection of the distal end of the radiation conveying means. The lasing apparatus is guided to an area within the patient's heart, and the distal end of the lasing apparatus is directed to an area of interest where the inner wall of the heart is irradiated with laser energy to form a channel through the myocardium for a desired distance. In a preferred embodiment, channels are formed without perforating the epicardium of the heart.

Abstract: A composite tubular element for intravascular catheters, such as fixed-wire dilatation catheters and guiding and angiographic catheters, which is formed by braiding strands formed from an intimate mixture of polymeric matrix materials, such as fibers and powders, having a relatively low melting point and high strength reinforcing fibers having a relatively high melting point into a tubular element, heating the braided tubular element to melt the low melting point matrix materials and flow around the reinforcing fibers to form a matrix. A thermoplastic jacket or coating may then be extruded or otherwise applied to the exterior of the braided tubular element.

Abstract: Guiding catheter and method of using the same in a cardiovascular procedure such as coronary angioplasty. The catheter has an elongated shaft with a deflectable distal portion. One lumen extends through the elongated shaft to form a passageway through which a dilatation catheter can be introduced. A second smaller lumen extends through the shaft to form a passageway for a control line which passes therethrough and which is connected to the distal tip. Proximal movement of the control line decreases the included angle between the distal portion and the main portion of the shaft. Pull on the control line also exerts a force on the distal portion of the guiding catheter which transmits a resultant axial force to push the catheter disposed within the first lumen. Pull on the control line also allows for catheter tip configuration adjustment thereby enabling the catheter to engage a difficult coronary ostium. In the disclosed embodiments, the distal portion is formed in two sections.

Abstract: A micro device for collecting blood from an individual or other blood source into a blood sampler cup, which cup has a removable vented top with a capillary tube passing through the top and contacting or proximate to the inside wall of the cup to deliver blood directly from the blood source to the cup.