Abstract: A balloon catheter includes a balloon which is both of high strength and radiopaque. The balloon includes an outer strengthened layer which includes a strengthening element at least partially embedded within the layer. Concentrically within the strengthened layer there is a radiopaque layer which includes a high concentration of radiopaque material distributed in the radiopaque layer. The strengthened layer acts as a support to the radiopaque layer which is otherwise be unable to withstand the pressure to which the balloon is normally inflated for deployment and in the course of a medical procedure. The structure provides a high strength radiopaque balloon with a relatively thin balloon wall optimizing balloon flexibility and wrappability. There is also disclosed a method of making a balloon which uses an internal support layer in a raw tubing which is then removed following formation of a balloon.

Abstract: A balloon catheter assembly comprises a balloon having attached to or in its wall one or more filar elements, extending from one end of the balloon to the other. The filar elements are made of a material which is at least as flexible as the material forming the walls of the balloon. In the event of circular burst of the balloon, the filar element(s) prevent disconnection of the material of the balloon into two or more separate pieces. The filar element(s) become attached to or in the material of the balloon wall when the raw material is inflated to the shape of a mold. The filar elements may comprise a natural fiber, a synthetic fiber or a metal wire.

Abstract: A balloon catheter includes a one-piece extrusion having inner and outer tubular walls, where the inner tubular wall defines a wire guide lumen, and a clearance extending between the inner and outer tubular walls forms an inflation lumen. A balloon is attached to the outer tubular wall and to the inner tubular wall, such that the inflation lumen is in fluid communication with the balloon and the wire guide lumen extends through the balloon. A method of making the balloon catheter is also disclosed.

Abstract: There are disclosed various dispensing mechanisms for dispensing filamentary material through a catheter into a treatment site of a patient, for example into an aneurysm sack in a patient's vessel. In one embodiment, the dispensing assembly includes a chamber having a spherical carrier onto which filamentary material is wound. Upon injecting driving fluid into the dispensing assembly filamentary material unwinds from the spherical carrier and is pulled through the catheter to be dispensed from the distal end of the catheter. The apparatus includes a pressure sensitive valve disposed at the inlet or the outlet of the receptacle, the pressure sensitive valve being closed when the pressure of driving fluid is below a threshold and open when the pressure of driving fluid is above the threshold. The pressure sensitive valve, when open, allows fluid flow through the chamber and dispensation of filamentary material from the outlet.

Abstract: In at least one embodiment of the present invention a balloon catheter is provided. The balloon catheter comprises a shaft having a lumen formed therethrough. Connected to the shaft is an inflatable balloon. The inflatable balloon has a balloon wall defining a balloon interior surface and a balloon exterior surface that is opposite the interior surface. In fluid communication with the balloon wall is the lumen for inflating the balloon to define an inflated state and for collapsing the balloon to define a deflated state. The balloon wall is textured in the deflated state such that the balloon interior surface is spatially registered with the balloon exterior surface. The balloon in the inflated state is tensioned to have a surface roughness substantially less than a surface roughness of the balloon in the deflated state.

Abstract: A delivery system includes an inflatable delivery balloon formed with a plurality of constraining elements which create constrained regions in a body portion of the balloon, interposed between unconstrained regions. The constrained regions create recesses for receiving a medical device or part of a medical device. The constraining elements are preferably formed by woven or braided material, advantageously embedded within the wall of the inflatable balloon. The constraining elements provide a structure that will not flatten upon inflation of the balloon and also a structure which can readily be folded or wrapped for endoluminal delivery purposes, and which retains flexibility of the delivery device.

Abstract: A non-compliant high strength balloon (10) includes a reinforcement member (30) formed of a sleeve of woven or braided strengthening elements (32, 34). There are provided circumferential strengthening elements (32) which are pre-tensed in order to remove any undulations within the strengthening elements (32) and to ensure that these have a precise annular size. On the other hand, the longitudinal strengthening elements (34) have undulations therein. The pre-tensing of the strengthening elements (32) ensures that the balloon will not stretch during pressurization thereof, which can occur when the circumferential strengthening elements have undulations therein, which will be natural artefacts of a weaving or braiding process. The undulations in the longitudinal strengthening elements (34) provides the balloon with increased longitudinal flexibility.

Abstract: The present disclosure provides for a double cone filter and a delivery apparatus for deploying the filter within the body. The filter may have superior and inferior rings connected to each other by a plurality of connectors. The rings may have a first degradation rate, and the connectors may have a second degradation rate. The second degradation rate may be faster than the first degradation rate, such that the connectors degrade faster than the rings. In this way, the filter has a filtering state when the connectors are present. After the connectors degrade or partially degrade, the rings may relax against the vessel wall in an open state. After a sufficient length of time, the rings also degrade such that the filter is completely removed from the body.

Abstract: The technical disclosure relates to catheters useful for engaging a vessel from within a lumen defined by the vessel. A catheter includes an elongate shaft, an inflatable balloon disposed on the distal end of the elongate shaft, a guide disposed on the external surface of the balloon, and an engaging member having a distal end releasably secured by the guide such that the guide maintains the engaging member distal end adjacent the outer surface of the balloon when the balloon is in an uninflated configuration but releases the engaging member distal end as the balloon moves from an uninflated configuration to an inflated configuration. The technical disclosure also relates to methods of using a catheter.

Abstract: Thrombus removal apparatus includes a balloon catheter with a short balloon at a distal end thereof. An aspiration catheter is disposed coaxially over the balloon catheter. The balloon catheter includes a plurality of holes for the administration of lytic agent. The apparatus does not seal off completely the zone of the vessel around the thrombus, thereby allowing movement of blood within the vessel. The balloon is shaped so that it can be pulled along the vessel in an upstream direction so as to drag against the vessel walls for assisting in the removal of the thrombus.

Abstract: Rotatable control handles and methods of using rotatable control handles are described herein. An example embodiment of a rotatable control handle comprises a handle, a compressible member disposed within the handle, a cap attached to the handle, and a cannula rotatably attached between the handle and the cap. The handle comprises a first member and a second member that is releasably attachable to the first member.

Abstract: A rapid exchange catheter includes a stiff proximal tube and a relatively flexible tapered distal tube, a guide wire tube being provided in the distal tube, with an aperture for access to the guide wire lumen being provided at the junction between the distal tube and the proximal tube, the tubes being bonded together at their junction.

Abstract: The present disclosure provides for a double cone filter and a delivery apparatus for deploying the filter within the body. The filter may have superior and inferior rings connected to each other by a plurality of connectors. The rings may have a first degradation rate, and the connectors may have a second degradation rate. The second degradation rate may be faster than the first degradation rate, such that the connectors degrade faster than the rings. In this way, the filter has a filtering state when the connectors are present. After the connectors degrade or partially degrade, the rings may relax against the vessel wall in an open state. After a sufficient length of time, the rings also degrade such that the filter is completely removed from the body.

Abstract: A wire guide for feeding a medical catheter through the body passage of a patient to a distant target site within the body has a variably flexible distal portion. The distal portion facilitates threading the guidewire in a tortuous path through acute bends at branch junctions in the body passages of the patient. The wire guide end is able to feed into very delicate vessels such as ventricles of the brain and the spinal canal without puncturing the wall or damaging organs.

Abstract: A medical balloon for a balloon catheter is described. The balloon has at least a first layer made from a first material and a second layer made from a second material, said first and second layers being in overlying relationship with one another and being integral with one another; wherein the first layer has a softening or melting temperature which is higher than a softening or melting temperature of the second layer. A method of forming the medical balloon is also described, including locating a raw tubing in a mold; preheating and inflating the raw tubing so as to cause it to stretch; heating the raw tubing to soften or melt the second layer; setting the inflated raw tubing to form the medical balloon; and cooling the set balloon.

Abstract: There are disclosed various dispensing mechanisms for dispensing filamentary material through a catheter into a treatment site of a patient, for example into an aneurysm sack in a patient's vessel. In one embodiment the assembly includes a conical material carrier which is substantially aligned with the dispensing direction, thereby avoiding the need to have a rotating carrier. Another embodiment has a carrier which is at least partially cylindrical. The carrier provides for efficient dispensation of filamentary material at substantial dispensing speeds.

Abstract: A medical balloon for a balloon catheter is described. The balloon has at least a first layer made from a first material and a second layer made from a second material, said first and second layers being in overlying relationship with one another and being integral with one another; wherein the first layer has a softening or melting temperature which is higher than a softening or melting temperature of the second layer. A method of forming the medical balloon is also described, including locating a raw tubing in a mold; preheating and inflating the raw tubing so as to cause it to stretch; heating the raw tubing to soften or melt the second layer; setting the inflated raw tubing to form the medical balloon; and cooling the set balloon.

Abstract: A filter device is provided having a biodegradable features. The filter device comprises an elongate stent portion and a conical filter portion attached thereto that is preferably balloon expandable. The conical filter portion includes a plurality of struts extending between a holding ring and the stent portion to define the conical shape of the filter portion. The struts can be biodegradable so that they degrade over time. The struts and/or holding ring can be configured so that at least one of the struts remains attached to the holding ring after a predetermined period of time. The struts are biased toward the wall of the body vessel in which the filter device is installed, so that after the predetermined period of time, the struts, and the strut attached to the holding ring, will expand toward the body vessel wall for bioabsorption.

Abstract: A medical balloon has a strengthening sleeve formed of circumferential fibres and longitudinal fibres. The circumferential fibres have a greater thickness than the longitudinal fibres and preferably have a greater cross-sectional area or volume. In one embodiment, the circumferential fibres are twice as thick as the longitudinal fibres. The use of thinner longitudinal fibres reduces the thickness of the strengthening sleeve and as a result enables a thinner balloon wall, whilst still retaining the circumferential strength of the balloon. Reduced balloon wall thickness improves the foldability and wrappability of the balloon for deployment purposes, and therefore provides a balloon with a smaller diameter for deployment purposes, with improved trackability through a patient's vasculature.

Abstract: A balloon catheter includes a one-piece extrusion having inner and outer tubular walls, where the inner tubular wall defines a wire guide lumen, and a clearance extending between the inner and outer tubular walls forms an inflation lumen. A balloon is attached to the outer tubular wall and to the inner tubular wall, such that the inflation lumen is in fluid communication with the balloon and the wire guide lumen extends through the balloon. A method of making the balloon catheter is also disclosed.