Abstract: A tubular prosthesis device for use within the body. The device includes, a metal filament material formed of metal outer member having an exposed outer surface and a core within the extended outer member formed of a different metal than the outer member. The core is secured within and substantially enclosed by the outer member. The device can be reduced to a small size for introduction into the body lumen and expandable to a sufficiently large size to engage the wall of the body lumen. Stents formed of composite wires are shown.

Abstract: An improved intra-aortic balloon catheter having an outer tube of a polymeric material and an inner tube of superelastic metal material with varying flexibility. The inner tube has a proximal end and a distal end. The inner tube is more flexible proximate the distal end than the proximal end.

Abstract: A shaft is shown having inner and outer members in interfering contact along their length, at least one of which comprises a wire, at least a portion of which is superelastic, to achieve substantial mechanical fidelity and resistance to damage. An ultrasound imaging catheter has a hollow catheter shaft, an ultrasound transducer in the shaft, and a drive shaft that rotates the transducer. The shaft comprises at least one metal coil having characteristic elastic deformation under stress in the range of about 3% to 9%, while a restraint means prevents torsional deflection of the coil. A drive shaft having a coil surrounded by a tube, a coil bonded to an inner coaxial cable, and an inner and outer coil that interfere with one another are shown. A superelastic coil is formed by continuously winding a wire about a mandrel, heating a region of the wire to render it superelastic, and after cooling, removing it from the mandrel.

Abstract: A steerable guidewire for gently penetrating an occlusion within a vessel, with an elongated solid main guidewire body having selected stiffness characteristics along its length to allow the guidewire to be urged through a narrow, tortuous body lumen by application of forces at a proximal end, and an enlarged distal end portion having a diameter larger than portions of the guidewire proximal thereof including a soft polymeric element and a permanently deflected portion to enable steering of the guidewire.

Abstract: A guidewire for penetrating an occlusion within a duct or vessel, such as a blood vessel, has an elongated main guidewire body of a small, first diameter. The guidewire is terminated at its distal end with an enlarged resilient tip portion having a lubricious outer surface, and is shaped and constructed to penetrate the occlusion. The guidewire body is constructed to be to be relatively flexible in the distal end corresponding to the enlarged tip and relatively stiffer in portions proximal thereof for manipulation of the wire from its proximal end to cause the distal tip portion to penetrate the occlusion and form a passage therein. In an embodiment, an outer sleeve is slid over the main body and butting against the proximal end of the enlarged tip portion contributes to axial stiffness of the combination to enable manipulation through the occlusion. After placement this sleeve is removed and a dilatation catheter is slid over the main body, and enters the occlusion behind the enlarged tip portion.