Abstract: A medical device for breaking up and aspirating material, especially intravenous clots, having a catheter, a barrel, and a sheath is disclosed. The catheter has a lumen through which material is aspirated. The barrel has a first and second end connected by a plurality of blades that are self-biased to extend outward. The sheath provides a selective radial constraint such that the blades are constrained when the sheath covers the barrel and unconstrained when the sheath is retracted.

Abstract: Arrangements and methods for delivering bioactive agents and/or cells into an extended volume of tissue are disclosed. In one embodiment, a cell-delivering needle arrangement has a tube positioned within a tube and fixedly attached to a wall thereof. In one exemplary method, a cell-delivering needle is advanced into tissue, a suspension of cells is passed through a first lumen and out of side ports, and a suspension of cells is passed through a second lumen and out of a distal opening. Other embodiments are disclosed.

Abstract: Described are methods and systems for testing lumens of cannulated delivery components or assemblies thereof that may be used to deliver cells to a patient. Test cells are contacted with walls of the lumens and/or liquids that contact walls of the lumens, potentially over an incubation period. The test cells are then assessed for an effect of the wall contact, or the liquid contact, on at least one and preferably multiple characteristics of the test cells such as innate immune response, metabolic activity, viability, cytotoxic response, and/or motility. Methods and systems as described can be used in the development and/or manufacture of cannulated delivery devices, for example providing specifications for design or process inputs or outputs, design or process validations, and/or device lot approvals. Also described are devices or products produced in accordance with such methods and systems.

Abstract: An intravascular filter assembly has an expanded state for capturing thrombi in a patient's blood vessel and a collapsed state for removal from the patient's blood vessel. The filter assembly includes a fixed hub defining a tubular portion, a plurality of struts extending from a first axial side of the tubular portion of the fixed hub, and an axially movable hub. The struts have an expanded configuration and a collapsed configuration. The axially movable hub has a first position radially surrounding at least an axial portion of the tubular portion and a second position axially spaced apart from the fixed hub along the struts. The struts are in the collapsed configuration when the movable hub is in the second position. A first coupling member extends from the first axial side from the movable hub; and a second coupling member extends from a second axial side opposite the first axial side.

Abstract: Soft-tipped airway exchange apparatus for use when replacing an endotracheal tube in a patient with a new endotracheal tube. The apparatus comprises a polymeric catheter body sized for insertion into a passageway of the endotracheal tube, for ventilating the patient during replacement of the endotracheal tube. The catheter body has a proximal portion, a distal portion and a ventilation passageway extending longitudinally therein. The distal portion has a rigidity which is less than the rigidity of the proximal portion.

Abstract: An infusion mechanism for treating an intraluminal site in a patient includes an infusion catheter having an elongate body with a proximal body end defining at least one fluid supply orifice, and a distal body end. The elongate body defines a high head loss lumen in fluid communication with a first set of side ports defining a proximal infusion zone. The elongate body further defines a low head loss lumen in fluid communication with a second set of side ports defining a distal infusion zone.

Abstract: An injection device including a syringe connectable to a corkscrew injection needle via an adapter is disclosed. The corkscrew needle includes a proximal end and a distal end and a bore formed through the proximal and distal ends, the corkscrew needle terminating with a sharpened tip at the distal end. The syringe includes a barrel and a chamber formed therein for containing an injectable substance. The barrel includes a proximal end, a distal end, and an outlet at the distal end in fluid communication with the chamber. The distal end of the syringe connects to the proximal end of the adapter. The adapter bore provides fluid communication between the syringe and the corkscrew needle. The proximal end of the corkscrew needle is rotatably coupled to distal end of the adapter which allows rotation of the corkscrew needle without rotating the syringe.

Abstract: A medical device for removing a thrombus from a blood vessel and a process thereof is presented. The device includes an outer sheath with a plurality of lumens. A wire guide inserted through one of the lumens is used to place the device proximate to a thrombus. An optical fiber placed through a second lumen uses laser input to ablate the thrombus in the distal portion of the second lumen near its distal end. A vacuum coupled to the proximal end of the second lumen is used to remove any ablated residual material. The second lumen may be pivoted around the first lumen to reposition the second lumen proximate to an area of the thrombus that has not yet been ablated.

Abstract: A guide catheter assembly includes an outer sheath and an inner catheter disposed, at least partially, within the outer sheath. A tether tethers the inner catheter to the outer sheath. The guide catheter assembly has a first configuration where the tether is untensioned and distal ends of the outer sheath and inner catheter are pointing in a first direction. In a second configuration of the guide catheter assembly, the tether is tensioned, the distal end of the outer sheath is pointing in the first direction, the distal end of the inner catheter is pointing in a second direction that is different from the first direction, and the tether is oriented at an angle different from both the first direction and the second direction.

Abstract: Methods and apparatus are provided for treating tissue with apparatus that includes an priming portion for initiating a healing response in the tissue to be treated, and which delivers a bioactive agent during or after preparing tissue adjacent the apparatus, as by generating or aiding a healing, regeneration or repair response in the tissue. The priming portion may comprise an abrasive surface, fluid ejection ports, and/or stimulation by electrical, thermal, or light energy.

Abstract: A medical device includes a guidewire with a lumen, a plastic tip, and a removable mandrel. The medical device has echogenic properties which can be altered between an echogenic state and an echolucent state by evacuating the lumen and applying a liquid or gas within the lumen.

Abstract: A system for removing a blood clot from a blood vessel or vein is provided. The system includes a plurality of support members that can be expanded to define a basket. The support members include a mesh portion at their distal ends. The system includes a first wire attached to the proximal end of the basket defined by the support members and a second wire attached to a distal end of the basket. The second wire extends through the middle of the basket when the basket is in the expanded condition. The width of the basket can be adjusted by adjusting the second wire relative to the first wire, and the location of the basket can be adjusted by adjusting the first wire. The basket is delivered distally beyond the blood clot, where it is expanded outward. The blood clot is captured by translating the basket proximally.

Abstract: Described are methods and systems for testing lumens of cannulated delivery components or assemblies thereof that may be used to deliver cells to a patient. Test cells are contacted with walls of the lumens and/or liquids that contact walls of the lumens, potentially over an incubation period. The test cells are then assessed for an effect of the wall contact, or the liquid contact, on at least one and preferably multiple characteristics of the test cells such as innate immune response, metabolic activity, viability, cytotoxic response, and/or motility. Methods and systems as described can be used in the development and/or manufacture of cannulated delivery devices, for example providing specifications for design or process inputs or outputs, design or process validations, and/or device lot approvals. Also described are devices or products produced in accordance with such methods and systems.

Abstract: An intravascular filter assembly has an expanded state for capturing thrombi in a patient's blood vessel and a collapsed state for removal from the patient's blood vessel. The filter assembly includes a fixed hub defining a tubular portion, a plurality of struts extending from a first axial side of the tubular portion of the fixed hub, and an axially movable hub. The struts have an expanded configuration and a collapsed configuration. The axially movable hub has a first position radially surrounding at least an axial portion of the tubular portion and a second position axially spaced apart from the fixed hub along the struts. The struts are in the collapsed configuration when the movable hub is in the second position. A first coupling member extends from the first axial side from the movable hub; and a second coupling member extends from a second axial side opposite the first axial side.

Abstract: An intravascular filter assembly has an expanded state for capturing thrombi in a patient's blood vessel, a first a collapsed state for removal from the patient's blood vessel in a first direction and a second collapsed state for removal from the patient's blood vessel in a second direction. A plurality of first struts extends from a first axial side of a fixed hub, and a plurality of second struts extends from the opposite axial side of the fixed hub. An axially movable hub has a first position radially surrounding the tubular body, a second position axially spaced apart from the fixed hub along the first struts, and a third position axially spaced apart from the fixed hub along the second struts. The first struts are collapsed when the movable hub is in the second position, and the second struts are collapsed when the movable hub is in the third position.

Abstract: Arrangements and methods for delivering bioactive agents and/or cells into an extended volume of tissue are disclosed. In one embodiment, a cell-delivering needle arrangement has a tube positioned within a tube and fixedly attached to a wall thereof. In one exemplary method, a cell-delivering needle is advanced into tissue, a suspension of cells is passed through a first lumen and out of side ports, and a suspension of cells is passed through a second lumen and out of a distal opening. Other embodiments are disclosed.

Abstract: A nebulizing catheter for bronchial therapy includes a catheter having a sheath defining an interior space and an open tip. A nebulizer is positioned in the interior space and located adjacent the open tip. The nebulizer includes a piezoelectric device. A liquid mixture is provided and placed in flow communication with the piezoelectric device for nebulizing a portion of that liquid mixture into small droplets for use in the bronchial therapy.

Abstract: Described in one aspect is a multi-pressure monitoring system for cell or other therapy includes a first catheter having a first lumen for accepting a treatment device, a second lumen for inflating a balloon, a pressure sensor for monitoring fluid pressure within the first lumen, and a flow restrictor such as a hemostasis valve for limiting the exchange of fluids into and out of the first lumen while treatment devices are present or exchanged in the first lumen. Also disclosed is a method of using the first catheter with a first pressure monitor coupled to the first pressure sensor along with a second catheter attached to a second pressure sensor coupled to a second pressure monitor. The second catheter is positioned within the first lumen of the first catheter during treatment operations and the first and second pressure monitors are used to verify proper pressures throughout the procedure.

Abstract: An airway management apparatus for engagement with a catheter for oxygenation of a patient includes a main body having a major axis, a first port extending in a proximal direction along the major axis, a second port, and a third port extending in a distal direction along the major axis. The third port comprises a connector for engagement with a proximal end of the catheter. The connector may have a plurality of radially compressible members extending in a distal direction, and circumferentially aligned to receive the catheter proximal end. An axially movable member is positioned to selectively compress the compressible members around the catheter proximal end to form a locking engagement, and to release the compressible members. A wire guide is insertable into the trachea through the first and third ports, and the catheter.

Abstract: An airway manifold includes a manifold body having an upper body portion and a lower body portion. The body portions are engaged such that the upper body portion is rotatable relative to the lower body portion, whereby a generally hollow interior space is defined. The lower body portion has a port open to the interior space, and the upper body portion includes a plurality of ports open to the interior space. A first upper body port is axially alignable with the lower body port to define a substantially linear passageway therebetween when the upper body portion is at a first rotatable position relative to the lower body portion. A second upper body port is axially alignable with the lower body port to define a substantially linear passageway therebetween when the upper body portion is at a second rotatable position.