Abstract: A vaso-occlusive device includes an inner coil made from inner coil wire having a first diameter and formed from a first material, and an outer coil disposed at least partially around the inner coil and made from outer coil wire having a second diameter and formed from a second material. The inner coil has a first pitch and the outer coil has a second pitch. The first diameter, material, and pitch are different from the second diameter, material, and pitch, respectively. The outer coil defines a lumen and the inner coil is disposed at least partially in the lumen. The vaso-occlusive device also includes an intermediate layer disposed between the inner coil and the outer coil, where the intermediate layer includes a biocompatible metal or a biocompatible, swellable polymer.

Abstract: A medical device with a corrugated shaping ribbon is provided. The corrugated shaping ribbon for the medical device, which may be provided in the form of a guide wire or catheter, specifically a crossing guide wire or catheter, provides a mechanism by which energy can be stored as the distal tip of the medical device engages a lesion or other area of occlusion within a blood vessel. By storing such energy and continuing to apply force, eventually the distal tip extends thereby releasing the stored energy and allowing the distal tip to advance or cross through the lesion.

Abstract: Medical devices and methods for making and using the same are disclosed. An example medical device may include a guidewire. The guidewire may include an elongate shaft. The shaft may include a porous metal alloy. The porous metal alloy may be arranged so that the porous metal alloy has a first pore distribution along a first portion of the shaft and a second pore distribution different from the first pore distribution along a second portion of the shaft.

Abstract: A medical device, such as a medical guidewire, having a portion including an inner zone of material and an outer peripheral zone of material surrounding the inner zone of material. The inner zone of material has a first coefficient of thermal expansion and the outer peripheral zone of material has a second coefficient of thermal expansion less than the first coefficient of thermal expansion, wherein at an operating temperature the outer peripheral zone of material opposes expansion of the inner zone of material such that the outer peripheral zone of material exerts a compressive stress on the inner zone of material.

Abstract: A vaso-occlusive device includes a coil having a proximal end and a distal end, wherein the coil comprises a helically wounded elongated member having a core and an outer layer, the outer layer being made from a metal or alloy, and has a stiffness that is different from a stiffness of the core. A vaso-occlusive device includes a first coil and a second coil, wherein the first and the second coils are coupled to each other such that at least one loop from the first coil is between two adjacent loops from the second coil, and wherein the first coil is made from a first material, and the second coil is made from a second material that is stiffer than the first material. A vaso-occlusive device includes an outer coil having a plurality of loops that define a lumen therethrough, and an inner coil located within the lumen of the outer coil, wherein the outer and inner coils are each made from a metal or an alloy, such as platinum or a platinum-tungsten alloy.

Abstract: A core wire of a delivery wire assembly for delivery of an occlusive device to a location in a patient's vasculature, includes a wire having a polyimide coating, with a polymer jacket disposed around the polyimide coating, and a hypotube disposed around the polymer jacket. The delivery wire assembly further comprises a delivery wire conduit including a coil disposed around the wire, wherein a proximal end of the coil is connected to a distal end of the hypotube. The polyimide coating may be enhanced with a nano-particle or micro-fiber ceramic, such as yttria-stabilized zirconia.

Abstract: Medical devices and methods for making and using the same. An example medical device may include a guidewire. The guidewire may include an elongate shaft. The shaft may include a porous metal alloy. The porous metal alloy may be arranged so that the porous metal alloy has a first pore distribution along a first portion of the shaft and a second pore distribution different from the first pore distribution along a second portion of the shaft.

Abstract: A delivery wire assembly for delivery of an occlusive device to a location in a patient's vasculature, the assembly having a distal end portion comprising a proximal rigid segment, a distal rigid segment, and a flexible segment disposed between the proximal and distal rigid segments. The assembly also has a delivery wire conduit having a proximal tubular portion coupled to a distal coil portion, the respective tubular and coil portions defining a conduit lumen. A plug is seated in the conduit lumen and secured to an interior surface of the delivery wire conduit. A core wire is disposed in the conduit lumen and having a distal end extending through the plug, so that the plug secures the core wire to the delivery wire conduit. The plug may form a substantially fluid tight seal of the conduit lumen.

Abstract: A delivery wire assembly for delivering an occlusive device to a location in a patient's vasculature, includes delivery wire conduit defining a conduit lumen, a core wire disposed in the conduit lumen, the core wire having a distal detachment zone, and an enhancing coil disposed around the distal detachment zone, the enhancing coil configured to transfer a distally directed force from the delivery wire assembly to objects located distal of the delivery wire assembly without damaging the distal detachment zone. In one embodiment, the enhancing coil includes a proximal section having a first diameter, a distal section having a diameter larger than the diameter of the proximal section, and a transition section connecting the respective proximal and distal sections, wherein the transition section flares radially in a distal direction.

Abstract: Medical devices and methods for making and using the same. An example medical device includes a slotted tubular member and a coating disposed over the tubular member. The coating may define one or more coating gaps therein.

Abstract: Medical devices and methods for making and using the same. An example medical device includes a slotted tubular member and a coating disposed over the tubular member. The coating may define one or more coating gaps therein.

Abstract: An elongate medical device including a coating extending over a portion of the elongate medical device having a plurality of apertures formed thereon and a method of applying a coating to such an elongate medical device are disclosed. Prior to applying a coating to the elongate medical device, a removable liquid is dispensed in the plurality of apertures. Subsequently, the removable liquid is removed from the plurality of apertures, leaving the plurality of apertures free of, unobstructed by, or otherwise not filled with the coating.

Abstract: A delivery wire assembly for delivery of an occlusive device to a location in a patient's vasculature includes a delivery wire conduit having a proximal tubular portion coupled to a distal coil portion, the respective tubular and coil portions defining a conduit lumen, a plug at least partially seated in the conduit lumen and coupled to an interior surface of the coil portion so as to form a substantially fluid tight seal of the conduit lumen, and a core wire disposed in the conduit lumen, the core wire having a distal end extending through the plug and coupled to an occlusive device

Abstract: A delivery wire assembly for delivery of an occlusive device to a location in a patient's vasculature includes a delivery wire conduit having a proximal tubular portion coupled to a distal coil portion, the respective tubular and coil portions defining a conduit lumen. A core wire is disposed in the conduit lumen and having a distal end coupled to an occlusive device, wherein an elongate electrical contact body at least partially seated in the conduit lumen and coupled to a proximal end of the core wire, the electrical contact body and the proximal tubular portion forming a junction.

Abstract: A delivery wire assembly for delivery of an occlusive device to a location in a patient's vasculature includes a delivery wire conduit having a proximal tubular portion connected to a distal coil portion, and a conduit lumen extending through the proximal tubular portion and the distal coil portion. The delivery wire assembly also includes a core wire disposed in the conduit lumen and having a distal end coupled to an occlusive device. The distal coil portion of the delivery wire assembly includes a plurality of zones and the plurality of zones decrease in stiffness distally along the length of the distal coil portion of the delivery wire assembly.

Abstract: Disclosed are methods and structures for joining metallic members. A welding material can be used between two metallic members that comprise different metals. The different metals can normally form brittle intermetallic compounds when welded to one another, and the welding material can inhibit the formation of the brittle intermetallic compounds.

Abstract: Alternative coating compositions and/or methods of coating a medical device. Some examples include coating compositions comprising a polyester urethane and a polyether in a substantially aqueous carrier. The coating composition may be provided as a one or two part system and may be applied by a variety of coating methods, in some cases without a requirement for special equipment or undue industrial hygiene concerns. Additionally, methods of coating medical devices with substantially aqueous coating compositions and the resulting coated medical devices. The composition may be applied to all or part of a medical device by spraying, dipping, brushing, extruding, or the like. After the coating composition has been applied, the substantially aqueous carrier, including any attendant cosolvents or other volatile species, may be removed, typically by heating with optional enhanced air flow although simple evaporation at ambient conditions may also be used.

Abstract: The invention provides design, material, manufacturing method, and use alternatives for medical devices. An example medical guidewire includes an elongate core member including a proximal region and a distal region, a braid member disposed about at least a portion of the distal region of the elongate core member, a polymer member disposed between at least a portion of the elongate core member and the braid member, and a polymer sleeve member disposed about at least a portion of the braid member. The proximal region of the core member is free of the braid member.

Abstract: A medical device, such as a medical guidewire, having a portion including an inner zone of material and an outer peripheral zone of material surrounding the inner zone of material. The inner zone of material has a first coefficient of thermal expansion and the outer peripheral zone of material has a second coefficient of thermal expansion less than the first coefficient of thermal expansion, wherein at an operating temperature the outer peripheral zone of material opposes expansion of the inner zone of material such that the outer peripheral zone of material exerts a compressive stress on the inner zone of material.

Abstract: An elongate medical device including a coating extending over a portion of the elongate medical device having a plurality of apertures formed thereon and a method of applying a coating to such an elongate medical device are disclosed. Prior to applying a coating to the elongate medical device, a removable liquid is dispensed in the plurality of apertures. Subsequently, the removable liquid is removed from the plurality of apertures, leaving the plurality of apertures free of, unobstructed by, or otherwise not filled with the coating.