Abstract: A catheter assembly is provided with a flexible tubular body having two lumens. A solid slidable member with a sharp distal end is disposed within one of the lumens. The slidable member is capable of sliding within the lumen of the tubular body between an exposed position in which the sharp distal end of the slidable member protrudes from the distal end of the tubular body and a shielded position in which the distal end of the slidable member is within the tubular body. One advantage is that the sharp distal end of the slidable member may be withdrawn into the tubular body in order to shield a patient from unintentional cutting or irritation from the sharp distal end of the slidable member.

Abstract: A method and device includes advancing a first stent and a second stent into a stenosed region of a blood vessel to protect or shield the vessel from possible blockage. The delivery device may include placement rings, selectively engagable by positioning members disposed on the outer wall of in inner catheter. The positioning members and the placement rings may be utilized to accurately place multiple stents within an afflicted vessel, in a single invasive procedure.

Abstract: A hemostasis valve system for controlling a flow of fluid includes a housing having a chamber therein, and a valve disposed in the chamber. The valve comprises a plurality of elastomeric valve members, each having opposing shaped first and second faces, a shaped inner edge portion, and a shaped outer edge portion. The valve members are collectively structured and arranged in the valve such that the shaped faces and the shaped inner edges are engaged in interlocking relationship. The valve members have sufficient elasticity to define a yieldable opening along the engaged inner edge portions upon passage therethrough of a medical interventional device.

Abstract: A device and a method for preparing foam are provided. The device includes a first housing having a first chamber therein and a first movable member positioned at least partially within the first housing. The device also includes a second housing having a second chamber therein, the second chamber being selectively and operably connectable to the first chamber. The second housing further includes a biasing member and a second movable member therein, the biasing member biasing the movable member toward a first end portion of the second housing. The device includes a valve operably connected to the first chamber and the second chamber and movably positionable to selectively control the connection between the first chamber and the second chamber and a handle operably connected to the first movable member and movable to bias the first movable member toward a first end portion of the first housing.

Abstract: A catheter assembly is provided with a flexible tubular body having two lumens. A solid slidable member with a sharp distal end is disposed within one of the lumens. The slidable member is capable of sliding within the lumen of the tubular body between an exposed position in which the sharp distal end of the slidable member protrudes from the distal end of the tubular body and a shielded position in which the distal end of the slidable member is within the tubular body. One advantage is that the sharp distal end of the slidable member may be withdrawn into the tubular body in order to shield a patient from unintentional cutting or irritation from the sharp distal end of the slidable member.

Abstract: The disclosure relates to frames suitable for prosthetic implantable valves, and methods of treatment with such frames, to regulate blood flow and to be compliant in percutaneous delivery and, upon implantation, configured to conform to the changing shape of the body vessel or vein. The frames include at least one anchoring member attached to a support member at one or more attachments, and a valve member, preferably a monocuspid valve leaflet, attached to the support member. Preferred frames include two anchoring members with the support member in between the anchoring members. The support member preferably has a semielliptical shape and extends diagonally to sealingly contact the wall of the body vessel.

Abstract: Disclosed is a multi-lumen mixing device that includes a first and second lumen constructed and arranged to separately pass a first and second reagent to a mixing chamber in the device, where the mixing chamber includes a mixing feature that mixes the first and second reagents. The disclosed multi-lumen mixing device may also include a port in fluid communication with the reaction mixing to permit the product of the combined reagents to be injected into a patent.

Abstract: The medical device includes a secondary wire guide and an advancement device. The advancement device has a tubular portion with a distal opening and a proximal opening. An edge region of the tubular portion forms the distal opening. A primary wire guide extends through the tubular portion. The secondary wire guide also extends into the tubular portion and has a distal portion configured to engage the edge region of the tubular portion. Accordingly, the secondary wire guide is advanced as the advancement device is translated into the blood vessel.

Abstract: Medical device loading apparatuses, systems, methods and kits are described. A loading apparatus comprises a main body having a proximal end defining a proximal opening, a distal end defining a distal opening, and a passageway extending between the proximal and distal openings. The passageway defines a proximal chamber having a first inner diameter, a distal chamber having a second inner diameter, and a transition chamber disposed between the proximal and distal chambers. The transition chamber has an inner diameter that transitions from the larger second inner diameter to the smaller first inner diameter. The main body has a separable connection that divides the main body between proximal and distal portions when disrupted.

Abstract: A micro-needle array is provided that may be used to deliver a bioactive agent to a therapeutic target. The micro-needle array preferably includes a substrate, a plurality of micro-needles integral with the substrate, and a bioactive agent. At least one micro-needle preferably includes a top surface, a bottom surface, a side surface, and a cavity defined by an inner surface. The bioactive agent may be disposed on the substrate and the plurality of micro-needles. The at least one micro-needle may further include a slit connecting the cavity to an aperture, the slit extending from the top surface to the bottom surface.

Abstract: The present embodiments provide an elongate medical device comprising a plurality of strands twisted in a generally helical manner to form a tubular shape having a longitudinal axis. A first strand of the plurality of strands is moveable with respect to at least a second strand of the plurality of strands. Actuation of the one or more strands may perform a medical function or actuate an associated distal component. A working lumen of the tubular member may remain unobstructed for delivery of medical components or fluids.

Abstract: System and methods for applying vascular therapy to a body vessel using a chamber capable of negative and/or positive pressure relative to ambient are provided. The chamber includes one or more pressure-isolated chambers. A pressure and/or vacuum source is connected to the pressure chamber, and is configured to provide distinct pressures within each pressure-isolated chamber. A controller is coupled to the pressure source, and is configured to control the pressure source such that pressure within each of the pressure-isolated chambers is controlled cyclically to simulate a pulsating pump or peristaltic-like pump action within the body vessel. The use of negative pressure is sequenced such that the resistance to pressure toward the heart is reduced. This effectively “pulls” blood flow toward the heart and creates more space for incoming blood flow. During simulation, medical devices may be introduced to and/or diagnostics may be performed on the targeted vessel.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide generally includes a main body having a distal end and a coupling tip connection to the distal end. The coupling tip includes a coupling portion defining a coupling passageway having a proximal port and a distal port. A slot is formed in the coupling tip and is in communication with the coupling passageway. The slot extends from the proximal port to the distal port, thereby permitting the coupling wire guide to be “clipped-on” to the mid-section of the previously introduced wire guide or any location having the most efficacy.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide includes a main body having a distal section. The distal section includes an outer wire disposed over a safety wire. A loop wire is connected to the safety wire at two axially spaced points. At least a portion of the loop wire is positioned outside of the outer wire to define a loop area sized to receive the previously introduced wire guide.

Abstract: A coupling wire guide structured to be slidably coupled to a previously introduced wire guide. The coupling wire guide generally includes a main body having a distal end and a coupling tip connection to the distal end. The coupling tip includes a coupling portion defining a coupling passageway having a proximal port and a distal port. A slot is formed in the coupling tip and is in communication with the coupling passageway. The slot extends from the proximal port to the distal port, thereby permitting the coupling wire guide to be “clipped-on” to the mid-section of the previously introduced wire guide or any location having the most efficacy.

Abstract: A coupling wire guide is structured to be slidably coupled to a previously introduced wire guide, and is also well suited for stand-alone use. The coupling wire guide generally includes a main body having a distal end and a coupling tip connection to the distal end. The coupling tip includes a coupling portion and a tip portion. The coupling portion defines a coupling passageway having a proximal port and distal port for receiving a previously introduced wire guide. The tip portion includes a distal end surface having an atraumatic shape.

Abstract: A hemostasis valve system for controlling a flow of fluid includes a housing having a chamber therein, and a valve disposed in the chamber. The valve comprises a plurality of elastomeric valve members, each having opposing shaped first and second faces, a shaped inner edge portion, and a shaped outer edge portion. The valve members are collectively structured and arranged in the valve such that the shaped faces and the shaped inner edges are engaged in interlocking relationship. The valve members have sufficient elasticity to define a yieldable opening along the engaged inner edge portions upon passage therethrough of a medical interventional device.

Abstract: An endoluminal prosthesis may include a tubular graft extending in a longitudinal direction, where the graft has an inner surface forming a lumen extending a length of the graft. An elongate member may be attached to the graft in a circumferentially and longitudinally extending manner such that the elongate member forms a series of longitudinally spaced apart turns, each turn extending substantially around a circumference of the graft. The elongate member may torsion the graft in at least the circumferential direction and cause the graft to form circumferentially and longitudinally extending folds in the portions of the graft disposed between longitudinally adjacent turns of the elongate member.

Abstract: The present invention provides apparatus and methods for treating vascular conditions, and in particular, hardened or fibrous material in a stenosis. In a first embodiment, the apparatus comprises a catheter having proximal and distal regions and a plurality of balloons segments disposed on the distal region at intervals about a circumference of the catheter. A first set of opposing balloon segments are configured to be inflated at substantially the same time to apply a first pressure on the vascular condition, and then a second set of opposing balloon segments are configured to be inflated at substantially the same time to apply a second pressure on the vascular condition. The plurality of balloon segments may be formed by taking one length of balloon material and affixing the material to an outer surface of the catheter at a plurality of segment dividing locations to separate adjacent balloon segments, or alternatively, by providing multiple separate balloon materials.

Abstract: A wire guide includes identification features for distinguishing between other introduced wire guides. The wire guide includes a main body having a proximal portion. An identification section is formed at the proximal portion and includes a marker for identifying the wire guide. Preferably, the marker is a surface that can be identified visually, tactilely or visually and tactilely.