Abstract: Disclosed is a balloon catheter that can comprise an elongate support member, an inflation tube, a guidewire tube and a balloon. The guidewire tube can define a guidewire port at its proximal end, and can extend from the port through an opening in a wall of the elongate support member and distally through a first lumen of the elongate support member, in some cases to the distal end of the catheter. The inflation tube can be disposed over a distal portion of the elongate support member, a portion of the guidewire tube, a portion of the inner assembly, or any combination thereof, forming a second lumen. The distal end of the balloon can be attached to the guidewire tube and the proximal end of the balloon can be attached to the inflation tube. The inside of the balloon can be in fluid communication with the first lumen and with the second lumen, allowing the balloon to be inflated and/or deflated. The elongate support member can also have cuts in it.

Abstract: Medical devices may include structure or provision that permit a physician or other health care professional to adjust particular parameters such as flexibility, stiffness and compressive strength of at least a portion of the medical device. In some instances, the medical device may be adjusted prior to inserting the medical device into a patient. In some cases, the medical device may be adjusted while in use within the patient.

Abstract: Disclosed is a balloon catheter that can comprise an elongate support member, an inflation tube, a guidewire tube and a balloon. The guidewire tube can define a guidewire port at its proximal end, and can extend from the port through an opening in a wall of the elongate support member and distally through a first lumen of the elongate support member, in some cases to the distal end of the catheter. The inflation tube can be disposed over a distal portion of the elongate support member, a portion of the guidewire tube, a portion of the inner assembly, or any combination thereof, forming a second lumen. The distal end of the balloon can be attached to the guidewire tube and the proximal end of the balloon can be attached to the inflation tube. The inside of the balloon can be in fluid communication with the first lumen and with the second lumen, allowing the balloon to be inflated and/or deflated. The elongate support member can also have cuts in it.

Abstract: Medical devices may include structure or provision that permit a physician or other health care professional to adjust particular parameters such as flexibility, stiffness and compressive strength of at least a portion of the medical device. In some instances, the medical device may be adjusted prior to inserting the medical device into a patient. In some cases, the medical device may be adjusted while in use within the patient.

Abstract: A stent crimping and coating apparatus is disclosed. The apparatus includes a plurality of crimping blades positioned in a radial array and collectively forming a central crimping lumen, wherein the plurality of crimping blades radially movable to alter the diameter of the central crimping lumen. Each of the crimping blades includes a first surface configured to at least in part define the central crimping lumen. One or more of the crimping blades includes a fluid channel extending therein and a plurality of openings in fluid communication with the fluid channel. The plurality of openings are located at the first surface of the one or more crimping blades and adapted to discharge a fluid into the central crimping lumen.

Abstract: Apparatus, systems, and methods for percutaneous valve replacement and/or augmentation are provided. The apparatus includes a valve having a valve frame, a valve leaflet coupled to the valve frame, and a leaflet transition member coupled to the valve leaflet. The valve leaflet and leaflet transition member can transition from a first position where the valve leaflet and leaflet frame are at least partially outside a lumen of the valve frame to a second position where the valve leaflet and the leaflet transition member are within the lumen of the valve frame.

Abstract: A medical device has a catheter with a proximal portion, a distal portion, a shaft and an expandable member located at the distal portion. The expandable member is constructed and arranged for expanding the outer diameter of the catheter from a contracted state to an expanded state. A removable sleeve is positioned around the entire length of the expandable member. The sleeve has a first end and a second end, and an inner diameter that increases over the entire length of the sleeve.

Abstract: The present invention is drawn to a system and/or device for deploying a stent at a bifurcation. In one embodiment, the system and/or device for deploying a stent at a bifurcation may include a dual balloon catheter may include an elongate catheter body. Some dual balloon catheters may have a first proximal balloon and a second balloon bonded to at least a portion of the elongate catheter body. In some cases, a guide wire port may be positioned between the first and second balloons.

Abstract: Medical devices that include micromachined hypotubes or that have themselves been micromachined can provide advantages in flexibility, strength and other desirable properties. Examples of such medical devices may include catheters such as guide catheters and balloon catheters. Such devices may also include dual shaft medical devices in which an outer shaft is reversibly lockable onto an inner shaft.

Abstract: A stent crimping and coating apparatus is disclosed. The apparatus includes a plurality of crimping blades positioned in a radial array and collectively forming a central crimping lumen, wherein the plurality of crimping blades radially movable to alter the diameter of the central crimping lumen. Each of the crimping blades includes a first surface configured to at least in part define the central crimping lumen. One or more of the crimping blades includes a fluid channel extending therein and a plurality of openings in fluid communication with the fluid channel. The plurality of openings are located at the first surface of the one or more crimping blades and adapted to discharge a fluid into the central crimping lumen.

Abstract: Devices and methods for transferring forces down a catheter shaft while also maintaining an open fluid pathway are disclosed. In some of the designs, inner and outer members of the catheter interact, allowing improved transfer of forces down the catheter shaft. These designs also allow for maintenance of a fluid pathway along the length of the shaft, including at locations where the inner and outer members are interacting with one another. Structures are disclosed which extend at least a portion of the length of the shaft, allowing improved force transfer and resistance to kinking. Structures are also disclosed which specifically allow for inner and outer members to engage one another at at least one point along the shaft, improving the transfer of forces down the shaft.

Abstract: The present invention relates generally to a catheter having a torque transmitting shaft which retains adequate flexibility. The catheter includes an elongate shaft having an outer surface. In a preferred embodiment, a raised pattern is disposed on the outer surface. Preferably, the raised pattern improves the transmission of torque along the elongate shaft by including a series of bearing points which contact other bearing points along the shaft when torqued.

Abstract: A catheter is disclosed providing a balloon catheter having a distal tip that is flexible while additionally incorporating high column strength. The present invention additionally provides a distal tip region that accommodates for various sized guidewires. In preferred embodiments, the distal tip region is initially configured for accommodating the passage of 0.12-inch guidewires only. Through specific manufacturing processes, however, the distal tip is modified so that it also may be expanded to accommodate the passage of 0.14-inch guidewires. In additional preferred embodiments, an elastomeric sleeve is disposed over the modified distal tip to allow the tip to return to the initial 0.12 -inch accommodating profile when the larger 0.14-inch guidewire is withdrawn from the catheter.

Abstract: A protective sleeve for a catheter assembly comprising a tubular member composed of a first material. The first material having a first predetermined modulus of elasticity. The tubular member having at least one stripe of a second material engaged thereto. The second material having a greater modulus of elasticity than the first material. The tubular member having a loading state and being crimpable to a reduced state. In the loading state the tubular member being sized to disposingly engage the balloon of a catheter assembly wherein the balloon has a first diameter. When the tubular member is in the reduced state the tubular member is disposingly and retainingly engaged to the balloon. When the tubular member is in the reduced state the balloon has a second diameter which is less than the first diameter.

Abstract: Apparatus, systems, and methods for percutaneous valve replacement and/or augmentation are provided. The apparatus includes a valve having a valve frame, a valve leaflet coupled to the valve frame, and a leaflet transition member coupled to the valve leaflet. The valve leaflet and leaflet transition member can transition from a first position where the valve leaflet and leaflet frame are at least partially outside a lumen of the valve frame to a second position where the valve leaflet and the leaflet transition member are within the lumen of the valve frame.

Abstract: A filter apparatus for use in a body vessel lumen having a wall, which may include a first elongate member having a proximal end and a distal end, a second elongate member attached proximate a first end to the first elongate member and having a second end, and a plurality of connectors attached to the second elongate member at spaced-apart intervals of the second elongate member and slidably disposed on the first elongate member, the second elongate member movable between a first elongate configuration where the connectors are at a first average distance apart from each other and a second filtering configuration where the connectors are at a second average distance apart less than the first.

Abstract: A wire station is disclosed for securing and managing multiple wire members used in a catheter system. The wire management system includes means for securing the proximal portion of two wire members in a spatially separate arrangement. The wire station of the present invention additionally provides a physician with the flexibility of either directly attaching the wire station of the present invention to the catheter system directly, or positioning the wire station at a remote location.

Abstract: A medical electrical lead and body implantable electrode suitable for a variety of medical applications are disclosed. In general, the electrode includes a composite material having particles of pseudo-capacitive material, such as iridium oxide, dispersed within a polymer matrix including a polyelectrolyte. The polymer matrix can also include a conductive polymer doped with an excess of the polyelectrolyte. The composite may used to form the electrode itself or an electrode coating. The presence of a pseudo-capacitive material within the composite may increase the charge-storage capacity of the electrode and may allow for safe deliveries of charge densities within an electrochemical window suitable for pacing a patient's heart.

Abstract: Single-wire intravascular filters for use in filtering blood clots within the body are disclosed. An intravascular filter in accordance with an illustrative embodiment of the present invention can include a single filter wire defining a first end section, a second end section, and one or more filter loops adapted to collect blood clots contained within a blood vessel. Each of the filter loops can be configured to slope outwardly at an angle away from a central longitudinal axis of the filter to form a conical-shaped structure having an apex section and a base section.

Abstract: A catheter is disclosed providing a balloon catheter having a distal tip that is flexible while additionally incorporating high column strength. The present invention additionally provides a distal tip region that accommodates for various sized guidewires. In preferred embodiments, the distal tip region is initially configured for accommodating the passage of 0.12-inch guidewires only. Through specific manufacturing processes, however, the distal tip is modified so that it also may be expanded to accommodate the passage of 0.14-inch guidewires. In additional preferred embodiments, an elastomeric sleeve is disposed over the modified distal tip to allow the tip to return to the initial 0.12-inch accommodating profile when the larger 0.14-inch guidewire is withdrawn from the catheter.