Abstract: A tip engageable with an elongated sheath member for extracting an implanted elongated structure, such as a cardiac lead, from an obstruction in a body vessel of a patient. The tip includes a tip body having a proximal end, a distal end, and a passageway extending therethrough. The tip body proximal end is engageable with the distal end of the sheath member distal end. The passageway of the tip is aligned with the passageway of the sheath such that the implanted structure is receivable therein. The tip body distal end includes a segment tapering toward a leading edge. A disrupter element, such as a plurality of helices, is disposed along the outer surface of the tip body distal end. The disruptor element is configured for non-cuttingly disrupting the obstruction as the tip is advanced over the implanted structure.

Abstract: A device for extracting an elongated implanted structure from an obstruction within a vessel of a patient includes an inner sheath assembly and an outer sheath assembly. The inner sheath assembly includes an inner sheath and a tip, each having a passageway therethrough for receiving the implanted structure. The tip is configured for cutting and/or disrupting the implanted structure from the obstruction. The outer sheath assembly includes an outer sheath and a tip, each having a passageway therethrough for receiving the inner sheath assembly. The outer surface of this tip includes a plurality of raised elements circumferentially disposed therealong. The raised elements are configured for stabilizing the tissue of the vessel as the device is advanced through the vessel.

Abstract: A vascular filter retrieval device and methods of using the same are disclosed. In particular, some embodiments disclose a vascular filter retrieval device having a strut engaging member coupled to a loop. A retrieval device with an elongate member coupling a strut engaging member and loop are also disclosed. The present disclosure also provides a device having an orienting member arranged to extend at least partially around a vascular filter and orient a strut engaging member with a portion of the vascular filter. Other embodiments are disclosed.

Abstract: A surgical snare is provided having an operating wire and an outer sheath having a lumen extending therethrough, wherein the operating wire is disposed within the lumen and is longitudinally movable within the lumen. The surgical snare also has a first locking member attached to the operating wire and a second locking member attached to the outer sheath. The first locking member is frictionally engageable with the second locking member by sliding the outer sheath longitudinally along the operating wire until the first locking member contacts the second locking member. The operating wire is prevented from moving longitudinally with respect to the outer sheath when the first locking member is frictionally engaged with the second locking member.

Abstract: A snare for deployment or retrieval of an implantable medical apparatus. The snare includes a shaft, and a tip distal of the shaft. The tip includes an extendable member capable of self-centering the implantable apparatus during a deployment or retrieval. The extendable member is selectively receivable in the tip, distally extendable from the tip, and rotatable relative to the tip. An activatable handle is engaged with the shaft. A wire has an end engaged with the handle and an end engaged with the tip. Upon activation, the wire is urged in a proximal direction, resulting in a flexure of the tip. An elongated mechanism has a proximal portion engaged with the handle, and a distal portion engaged with the tip extendable member. The elongated mechanism is configured for selectively controlling the receiving, deploying, and rotating of the extendable member.

Abstract: A device for extracting an elongated implanted structure from an obstruction within a vessel of a patient includes an inner sheath assembly and an outer sheath assembly. The inner sheath assembly includes an inner sheath and a tip, each having a passageway therethrough for receiving the implanted structure. The tip is configured for cutting and/or disrupting the implanted structure from the obstruction. The outer sheath assembly includes an outer sheath and a tip, each having a passageway therethrough for receiving the inner sheath assembly. The outer surface of this tip includes a plurality of raised elements circumferentially disposed therealong. The raised elements are configured for stabilizing the tissue of the vessel as the device is advanced through the vessel.

Abstract: A device for extracting an elongated implanted structure from an obstruction within a vessel of a patient includes an inner sheath assembly and an outer sheath assembly. The inner sheath assembly includes an inner sheath and a tip, each having a passageway therethrough for receiving the implanted structure. The tip is configured for cutting and/or disrupting the implanted structure from the obstruction. The outer sheath assembly includes an outer sheath and a tip, each having a passageway therethrough for receiving the inner sheath assembly. The outer surface of this tip includes a plurality of raised elements circumferentially disposed therealong. The raised elements are configured for stabilizing the tissue of the vessel as the device is advanced through the vessel.

Abstract: An apparatus for retrieving an implanted device from a body vessel includes a distal hub with an elongated, bendable distal tip and with a first marker visible through body tissue with at least one imaging method; a proximal hub with a central longitudinal channel therethrough, arranged proximal from the distal hub, and bearing a second marker. A stylet wire extends from the distal hub through the central longitudinal channel of the proximal hub to a proximal stylet wire end. A flexible, radially expandable interlocking arrangement extends from the distal hub to the proximal hub. An elongated positioning device extending proximally from the proximal hub to a proximal device end. The positioning device and the stylet wire may be configured to perform a longitudinal relative movement between proximal hub and the distal hub, and the interlocking arrangement expands radially when the proximal and distal hubs approach each other.

Abstract: A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.

Abstract: An entry device for providing access to the interior of a body vessel through a wall of the vessel to enable removal of an implanted structure, such as a cardiac lead, from the body vessel includes an elongated sheath member and a tip positioned at the distal end of the sheath member. The elongated sheath member and tip have respective passageways extending therethrough that are sized and aligned to receive the implanted structure therein upon accessing the vessel. The elongated sheath member is capable of delivering sufficient torque to permit advancement of the tip through a wall of the vessel. The device may include an optional handle, and may be driven by manual or mechanical action.

Abstract: A delivery system for an implantable member includes an elongated dilator splittable at both the proximal and distal ends. The dilator has a tapered distal end and a pair of tabs at the proximal end. An introducer for the implantable member is received in a passageway of the dilator and extends along a length of the dilator to the tapered distal end. The introducer is arranged relative to the dilator such that upon a relative proximal movement of the dilator, the tapered distal tip of the dilator splits whereby the distal end of the introducer extends therethrough. A handle has a gripping mechanism for engagement with each tab for initiating proximal movement of the dilator relative to the introducer upon rotation of the gripping mechanism. The handle is structured for splitting the dilator proximal portion upon the relative proximal movement of the dilator.

Abstract: A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.

Abstract: There are disclosed embodiments of a system for retrieving a filter device from within a patient. A tube or sheath and one or more cables or other elongated members, which include a protrusion such as a bead at or adjacent a distal end, are movable with respect to each other. When the tube or sheath is adjacent a filter device, the cable or elongated member is extended so that the protrusion is between or through wires of the filter, and the protrusion is engaged to or between two or more of the wires. The filter is placed within the tube or sheath, as by retracting the cable or elongated member to pull the filter, by moving the tube or sheath over the cable or elongated member while it engages the filter under tension, or both.

Abstract: A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.

Abstract: A device for extracting an elongated implanted structure from an obstruction within a vessel of a patient includes an inner sheath assembly and an outer sheath assembly. The inner sheath assembly includes an inner sheath and a tip, each having a passageway therethrough for receiving the implanted structure. The tip is configured for cutting and/or disrupting the implanted structure from the obstruction. The outer sheath assembly includes an outer sheath and a tip, each having a passageway therethrough for receiving the inner sheath assembly. The outer surface of this tip includes a plurality of raised elements circumferentially disposed therealong. The raised elements are configured for stabilizing the tissue of the vessel as the device is advanced through the vessel.

Abstract: A vascular filter retrieval device and methods of using the same are disclosed. In particular, some embodiments disclose a vascular filter retrieval device having a strut engaging member coupled to a loop. A retrieval device with an elongate member coupling a strut engaging member and loop are also disclosed. The present disclosure also provides a device having an orienting member arranged to extend at least partially around a vascular filter and orient a strut engaging member with a portion of the vascular filter. Other embodiments are disclosed.

Abstract: An apparatus for retrieving an implanted device from a body vessel includes a distal hub with an elongated, bendable distal tip and with a first marker visible through body tissue with at least one imaging method; a proximal hub with a central longitudinal channel therethrough, arranged proximal from the distal hub, and bearing a second marker. A stylet wire extends from the distal hub through the central longitudinal channel of the proximal hub to a proximal stylet wire end. A flexible, radially expandable interlocking arrangement extends from the distal hub to the proximal hub. An elongated positioning device extending proximally from the proximal hub to a proximal device end. The positioning device and the stylet wire may be configured to perform a longitudinal relative movement between proximal hub and the distal hub, and the interlocking arrangement expands radially when the proximal and distal hubs approach each other.

Abstract: A modular hemostatic valve includes a splittable valve body. The splittable body defines a passageway. A sealing element is positioned in the passageway. The sealing element is configured to facilitate the passage of a first medical device, and the splittable valve body is configured to engage a second medical device.

Abstract: A device for preparing an elongated implanted medical apparatus, such as a cardiac lead, for extraction from the body of a patient. The device includes a first handle and a second handle. At least the first handle has a surface for receiving the implanted apparatus therealong. A wire member having a first end and a second end is positioned to span a distance between the surface of the first handle, and the second handle. The wire member first end is removably engaged with the first handle, and the wire member second end is removably engaged with the second handle. The wire member is sized and arranged to enable the wire member to be wound around a length of the implanted apparatus to facilitate extraction of the apparatus with a lead extraction device.

Abstract: There are disclosed embodiments of a system for retrieving a filter device from within a patient. A tube or sheath and one or more cables or other elongated members, which include a protrusion such as a bead at or adjacent a distal end, are movable with respect to each other. When the tube or sheath is adjacent a filter device, the cable or elongated member is extended so that the protrusion is between or through wires of the filter, and the protrusion is engaged to or between two or more of the wires. The filter is placed within the tube or sheath, as by retracting the cable or elongated member to pull the filter, by moving the tube or sheath over the cable or elongated member while it engages the filter under tension, or both.