Abstract: Catheters for aspiration of thrombotic, atherosclerotic or other particulate embolic debris from a blood vessel. An elongate flexible aspiration tube has an aspiration lumen defined by a reinforced tube wall. A guidewire tube is secured alongside the aspiration tube extending proximally from a distal end thereof to define either over-the-wire or single operator catheter configurations. The portion of the aspiration tube alongside the guidewire tube has an oval transverse cross section with a minor axis extending transversely through the guidewire tube. The oval cross section of the aspiration tube improves the catheter's efficient use of cross sectional space by making the overall catheter transverse cross section nearly equal in orthogonal dimensions. Methods of making aspiration catheters are also disclosed, including permanently deforming the portion of the aspiration tube into an oval transverse cross section.

Abstract: An expandable catheter accommodates a medical device that is being removed from a body with a larger diameter than the catheter. The same catheter may be used to reposition a device within the body to an alternative delivery site. A catheter or sheath may be used to deliver a medical device, surgical instrument, or biological sample.

Abstract: The invention pertains to a system, and related methods, for the percutaneous transluminal delivery and retrieval of a prosthetic occluder through a front-end loader. The prosthetic occluder may be, for example, an intracardiac occluder for a patent foramen ovale. The system includes, in one embodiment, a front-end loader having a beveled distal end. In another embodiment, the system includes a front-end loader having a chamfered rim at the beveled distal end.

Abstract: A hemostasis valve includes a single gland with multiple offset longitudinal slits that do not extend through the gland completely. The multiple slits form a complex pathway for the guide dilator/catheter and thus a better seal. The offset slits are joined by a lateral cut in the gland. When a guide wire or dilator/catheter is introduced into the introducer, the gland deforms sufficiently to allow the guide wire or other device to move through the first slit, the lateral cut and the second slit. This complex pathway or slit provides a larger sealing surface thereby creating a better seal. As a result, effective seals may be formed around relatively large, as compared to the inner diameter of an introducer sheath, catheters.

Abstract: An introducer sheath or catheter can be formed in two or more layers with an inner layer made of a higher durometer material and an outer layer made of a lower durometer material. The inner layer can have one or a combination of the following: one or more longitudinal slits, overlapping portions, monolithic hinges, or other formations to allow for radial expansion.