Abstract: Devices and methods for exploiting intramural (e.g., subintimal) space of a vascular wall to facilitate the treatment of vascular disease, particularly total occlusions. For example, the devices and methods disclosed herein may be used to visually define the vessel wall boundary, protect the vessel wall boundary from perforation, bypass an occlusion, and/or remove an occlusion.

Abstract: An example introducer is disclosed. An example introducer includes a tubular member including an inner layer and an outer layer, the inner layer having an inner surface, an outer surface and wall extending therebetween. The outer layer is disposed along the outer surface of the inner layer. The inner layer includes a plurality of longitudinal channels extending radially outward from the inner surface. Each channel of the plurality of channels has a circumferential width. Further, the tubular member is designed to shift from an unexpanded configuration to an expanded configuration, wherein the width of each channel increases as the tubular member shifts from the unexpanded configuration to the expanded configuration.

Abstract: The invention provides design, material, manufacturing method, and use alternatives for medical devices. An example medical device includes an elongate shaft having a distal region and a coil disposed along the distal region. The coil is formed from a winding member having a first filar region and a second filar region. The winding member has a first cross-sectional diameter along the first filar region, a second cross-sectional diameter different from the first cross-sectional diameter along the second filar region, a first centroid at a first position along the first filar region and a second centroid at a second position along the second filar region. The first centroid and the second centroid are axially-aligned.

Abstract: Devices, systems and methods for treating diseases and disorders effecting the cardiovascular system of the human body are disclosed. An exemplary device in accordance with this disclosure comprises a shaft, tip member fixed to the shaft, and a probe extending beyond a distal surface of the tip member. In some useful embodiments, the tip member is relatively atraumatic and the probe is shaped so as to be more likely to produce trauma than the tip member.

Abstract: The present disclosure is directed to a device. The device may include a distal shaft defining a central lumen and an orienting element comprising at least one inflatable member. Wherein a first portion of the orienting element extending from the shaft in a first direction and a second portion of the orienting element extending from the shaft in a second direction. Further, wherein the second direction is substantially opposite the first direction.

Abstract: Methods for making medical devices and portions of medical devices (e.g., intravascular catheters, catheter shafts, and tubular guiding members) are provided. Example methods may include providing a first ribbon comprising one or more thermoplastic materials and a piece of shrink tubing defining a shrink tube lumen and forming a first assembly by positioning the first ribbon inside the shrink tube lumen and urging the first ribbon to assume a tubular shape in which the first ribbon defines a ribbon lumen. A second assembly may be formed by loading an inner tubular member over a mandrel and forming or placing a support structure over an outer surface of the inner tubular member. A third assembly may be formed by inserting the second assembly into the ribbon lumen defined by the first ribbon of the first assembly. The third assembly may be heated to a process temperature.

Abstract: A device for guiding and supporting a stent delivery catheter and other catheters is disclosed. The device may comprise a tubular guiding member and an elongated positioning member extending in a proximal direction beyond the tubular guiding member for advancing and retracting the tubular guiding member in distal and proximal directions. A distal portion of the elongate positioning member may be coupled to the proximal portion of the tubular guide. In embodiments, the device includes a ribbon having a distal portion and a proximal portion. In embodiments, the distal portion of the ribbon extends distally into the tubular guiding member and the proximal portion of the ribbon overlays an inner surface of the elongate positioning member.

Abstract: Devices, systems and methods for treating diseases and disorders effecting the cardiovascular system of the human body are disclosed. An exemplary device in accordance with this disclosure comprises a shaft, tip member fixed to the shaft, and a probe extending beyond a distal surface of the tip member. In some useful embodiments, the tip member is relatively atraumatic and the probe is shaped so as to be more likely to produce trauma than the tip member.

Abstract: The present disclosure is directed to a device. The device may include a distal shaft defining a central lumen and an orienting element comprising at least one inflatable member. Wherein a first portion of the orienting element extending from the shaft in a first direction and a second portion of the orienting element extending from the shaft in a second direction. Further, wherein the second direction is substantially opposite the first direction.

Abstract: An introducer sheath may include a tubular member comprising an inner layer and an outer layer coaxially disposed about a central longitudinal axis of the introducer sheath, the tubular member being configured to shift between an unexpanded configuration to an expanded configuration. The inner layer may be circumferentially discontinuous along at least a portion of its length. At least a first portion of the inner layer may be configured to move circumferentially relative to the outer layer when shifting between the unexpanded and expanded configurations.

Abstract: An example introducer is disclosed. An example introducer includes a tubular member including an inner layer and an outer layer, the inner layer having an inner surface, an outer surface and wall extending therebetween. The outer layer is disposed along the outer surface of the inner layer. The inner layer includes a plurality of longitudinal channels extending radially outward from the inner surface. Each channel of the plurality of channels has a circumferential width. Further, the tubular member is designed to shift from an unexpanded configuration to an expanded configuration, wherein the width of each channel increases as the tubular member shifts from the unexpanded configuration to the expanded configuration.

Abstract: An example introducer is disclosed. An example introducer sheath includes a tubular member including an inner surface, an outer surface and a wall extending therebetween. The introducer further includes a plurality of spine members. The plurality of spine members are positioned radially inward of the outer surface of the tubular member. Further, each of the plurality of the spine members are positioned radially outward of the inner surface of the tubular member. Additionally, the tubular member is designed to shift from a first configuration to a second configuration and the wall has a first thickness in the first position and a second thickness in the second position, the second thickness smaller than the first thickness.

Abstract: The present disclosure is directed a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method may include providing a first intravascular device having a distal portion and at least one aperture and positioning the distal portion of the first intravascular device in the vascular wall. The method may further include providing a reentry device having a body and a distal tip, the distal tip having a natural state and a compressed state and inserting the distal tip, in the compressed state, in the distal portion of the first intravascular device. The method may further include advancing the distal tip, in the natural state, through the at least one aperture of the first intravascular device.

Abstract: The present disclosure is directed to a device. The device may include a distal shaft defining a central lumen and an orienting element comprising at least one inflatable member. Wherein a first portion of the orienting element extending from the shaft in a first direction and a second portion of the orienting element extending from the shaft in a second direction. Further, wherein the second direction is substantially opposite the first direction.

Abstract: The present disclosure is directed to a device. The device may include a distal shaft defining a central lumen and an orienting element comprising at least one inflatable member. Wherein a first portion of the orienting element extending from the shaft in a first direction and a second portion of the orienting element extending from the shaft in a second direction. Further, wherein the second direction is substantially opposite the first direction.

Abstract: Medical devices, medical device systems, and methods for making and using the same are disclosed. An example medical device system may include a catheter shaft having a proximal end. A removable liner may extend through the catheter shaft. The removable liner may be designed to deliver a medical substance to a target region. The removable liner may be designed to be removed from the catheter shaft if the removable liner becomes plugged. The system may also include a replacement liner. The replacement liner may be designed to be inserted within the catheter shaft after the removal of the removable liner. A support member may be disposed along the replacement liner.

Abstract: The invention provides design, material, manufacturing method, and use alternatives for medical devices. An example medical device includes an elongate shaft having a distal region and a coil disposed along the distal region. The coil is formed from a winding member having a first filar region and a second filar region. The winding member has a first cross-sectional diameter along the first filar region, a second cross-sectional diameter different from the first cross-sectional diameter along the second filar region, a first centroid at a first position along the first filar region and a second centroid at a second position along the second filar region. The first centroid and the second centroid are axially-aligned.

Abstract: In one aspect, a method for providing sales content that can include displaying a home page using a computing device such as a tablet computer is disclosed. The home page can include a meeting page element and content area elements. The meeting page element can link to at least one meeting presentation page. Content area elements can link to at least one content selection page which can include one or more selection controls. Selection controls can correspond to a respective content portion and can have a state indicating the selection status of the corresponding content portion. If one of the selection controls has the “selected” state, the processing circuitry can add the respective content portion, and a content portion element, which can be linked to the respective content portion, to the meeting presentation page. The electronic display of the computing device can be used to display a meeting presentation page.

Abstract: The present disclosure is directed to a device. The device may include a distal shaft defining a central lumen and an orienting element comprising at least one inflatable member. Wherein a first portion of the orienting element extending from the shaft in a first direction and a second portion of the orienting element extending from the shaft in a second direction. Further, wherein the second direction is substantially opposite the first direction.

Abstract: A substance and method for treating a subterranean formation using hydraulic fracturing is provided. The method includes treating a formation with a non-metallic deformable proppant that may be substantially deformable, “elastically flexible”, or “plastically compressible.” The method may include the steps of injecting a carrier fluid into the formation at a pressure and a flow rate sufficient to create or open an existing fracture or fracture network in the formation, and placing at least a portion of the deformable proppant in the fracture by way of the carrier fluid so that the deformable proppant forms substantially a partial monolayer in the fracture, and reducing the pressure and/or the flow rate sufficiently to allow the fracture in the formation to at least partially close, wherein at least a portion of the deformable proppant remains in the fracture to prop open at least a portion of the fracture.