Abstract: An infusion catheter is formed with a catheter lumen extending from a proximal end connector assembly to a distal end valve that is normally closed but is penetrable to allow introduction of a guidewire through the catheter lumen and distal end valve and to thereby allow advancement of the infusion catheter over the guidewire, thereby allowing access of a distal infusion segment to a wide number of locations in the body. A plurality of, closely spaced, side wall infusion holes infusion holes extend from the catheter lumen through the catheter side wall in a high strength, catheter distal end, infusion segment. A therapeutic or diagnostic substance is pumped in a pulsatile manner through the catheter lumen under high pressure after removal of the guidewire and closure of the distal end valve. The infusion segment is preferably moved back and forth as jets of the therapeutic or diagnostic substance are emitted.

Abstract: Thrombectomy methods and apparatus for removing a thrombus from a blood vessel involving high velocity injection of a thrombolytic agent, e.g., a plasminogen activator, through multiple, closely spaced, side wall infusion holes in a high strength catheter distal end infusion segment to lyse the adjacent thrombin. The infusion catheter is formed with a catheter lumen extending from a proximal end connector assembly to a distal end valve that is normally closed but is penetrable to allow introduction of a guidewire through the catheter lumen and distal end valve and to thereby allow advancement of the infusion catheter over the guidewire, thereby allowing access of the distal infusion segment to a wide number of locations. The infusion holes extend from the catheter lumen through the catheter side wall. Thrombolytic agent is pumped in a pulsatile manner through the catheter lumen under high pressure after removal of the guidewire and closure of the distal end valve.

Abstract: A surgical guidewire having a distal section and a proximal section includes a core with a first end and a second end. A longitudinal spring disposed circumferentially of the core has a first end coupled to the second end of the core and a second end which extends distally of the core. A sheath has a spaced sliding relationship with at least a portion of the spring and a frictional fixed relationship with at least a portion of the core. An associated method of manufacture includes the step of selecting from a group of sheaths having different characteristics but a common inside diameter, a particular sheath desired for the guidewire.