Abstract: An intravascular catheter (e.g. guide or diagnostic catheter) that includes a specially designed distal tip to provide enhanced back-up support. The distal tip (e.g., distal 2 cm of the shaft) has a lateral extent or profile (e.g., wave shape) that is larger than the lumen of the coronary artery adjacent the ostium when the tip is in a relaxed state. The over-sized lateral extent causes the distal tip to frictionally engage the coronary artery and anchor within the ostium. The lateral extent or profile of the distal tip may be decreased by inserting a guide wire therethrough to facilitate insertion of the distal tip into the ostium. After the distal tip is inserted into the ostium, the guide wire may be removed to allow the lateral extent of the distal tip to increase and thereby anchor the distal tip in the ostium.

Abstract: An improved guiding member for use within a body lumen having a unique combination of superelastic characteristics. The superelastic alloy material has a composition consisting of about 30% to about 52% (atomic) titanium, and about 38% to 52% nickel and may have one or more elements selected from the group consisting of iron, cobalt, platinum, palladium, vanadium, copper, zirconium, hafnium and niobium. The alloy material is subjected to thermomechanical processing which includes a final cold working of about 10 to about 75% and then a heat treatment at a temperature between about 450° and about 600° C. and preferably about 475° to about 550° C. Before the heat treatment the cold worked alloy material is preferably subjected to mechanical straightening. The alloy material is preferably subjected to stresses equal to about 5 to about 50% of the room temperature ultimate yield stress of the material during the thermal treatment.

Abstract: An endovascular device (1,100,200,300) having a distal end (2), a proximal end (4) and a body portion (3) therebetween. The body portion is made of a multiple filament helically wound row (A) of wires (5), provided with a sealing coating (14) on the inside surface or the outside surface or both. The device may be a catheter (1), a sheath, an introducer, a delivery device, a pusher (100), an embolization coil delivery device (300), or a receptacle (208) for an expandable prosthesis (220) used with a delivery device(200). From 2 to 12, and preferably from 4 to 8, wires (5) are used in the row, and fewer wires may be used proceeding toward the distal end (2) for greater flexibility. The helically wound row of wires transmits torque and provides pushability to the device while resisting kinking, and enables a small outside diameter for reaching very small vessels and extending through very tortuous vessels.

Abstract: The present invention relates generally to catheters for performing medical procedures including percutaneous transluminal coronary angioplasty. More particularly, the present invention relates to guide catheters, diagnostic catheters and balloon catheters with an improved shaft design. In a preferred embodiment, the present invention includes a catheter shaft comprising an elongate support member having an outer surface, the elongate support member preferably defining a lubricious liner; a first layer disposed over the lubricious liner, a second layer disposed over the first layer, a third layer disposed over the second layer, a fourth layer disposed over the third layer, and a fifth layer disposed over the fourth layer. In preferred embodiments, the first and third layers comprise an ultraviolet-curable epoxy which is cured to desired degrees at select axial locations on the shaft to provide desired stiffness.

Abstract: The present invention relates generally to elongate support members, preferably for use with a catheter for performing medical procedures including percutaneous transluminal coronary angioplasty. An elongate support member comprising a proximal end and a distal end is disclosed. The proximal end of the elongate support member is formed to define a plurality of flanges. A linkage connects the flanges, and a lumen within the shaft is defined by connecting the flanges. The elongate support member comprises an improved catheter shaft design that maintains pushability, flexibility, and torquability while limiting kinking.

Abstract: The present invention provides a polymeric treatment for curved regions in shaft assemblies that increases curve retention without affecting the flexibility within these regions. More specifically, the present invention modifies the underlying crystalline morphology of a polymer in order to decrease crystal fracturing. In particular, the present invention treats polymeric materials suitable for catheter construction with a nucleating agent.

Abstract: A medical device such as an endoscope has an elongated flexible sheath. A first sleeve has a passage there through which snugly receives the sheath, the first sheath being slide-able from its proximal end to its distal end. The sleeve is a thin-walled tube having a constant inner diameter so as to minimize the increase the outer dimension of the device at the portion upon which the sleeve is positioned. The sleeve has a length of approximately one-half the length of the sheath and may have greater stiffness than the sheath. A second sleeve may be slide-ably mounted on the first sleeve and has a snug fit therewith. The second sleeve is also a thin-walled tube having a constant outer dimension. The second sleeve has a length of approximately one-half the length of the first sleeve and may have greater stiffness than the first sleeve.

Abstract: An epidural catheter has a closed, soft patient end region with a side opening. The catheter is formed from a two-layer extruded tube in which the outer layer is of a harder material than the inner layer. A heated pin is inserted in one end of the tube to expand its diameter. An annular grinding tool is then moved along the expanded region to remove the outer, hard layer in this region. The end of the tube is subsequently closed and the side opening is formed.

Abstract: The invention is directed to an intravascular balloon catheter and a method for forming the same. The catheter includes an elongated shaft having proximal and distal ends, a guidewire receiving lumen extending through at least a distal portion of the elongated shaft; and a balloon on a distal shaft section. A distal portion the guidewire receiving lumen has different stiffness along a length thereof.

Abstract: The invention is generally directed to an intraluminal catheter system with an improved transition between a proximal shaft portion and a more flexible distal shaft portion. The improvement provides enhanced flexibility and kink-resistance, thus, facilitating advancement through tortuous anatomy. The present catheters may be used for either or both angioplasty and stent deployment.

Abstract: This invention provides novel instrumentation surface structure for catheters, guide wires and other instrumentation for entering body canals to an internal body work site. This instrumentation is structured with a bi-directional surface friction for engaging tissue within the cavities and canals that they navigate. In this manner the naturally occurring peristalatic contractions are employed to advantageously grasp and carry the instrumentation toward its desired work site, significantly decreasing the risks of puncture and significantly decreasing the surgeon's time for entry of instruments to desired work sites in such procedures as small bowel enteroscopy where an endoscope enters the esophagus to be dynamically moved to work sites in the small intestine or colonoscopy where an endoscope enters the anal canal to be moved through the entire colon and gradually into the terminal ileum.

Abstract: An intravascular catheter including a proximal stiff metallic tube and a distal flexible tube. A distal portion of the metallic tube has a portion removed to define a void (e.g., spiral slot) which decreases the stiffness of the metallic tube. A proximal portion of the distal flexible tube is disposed in the void to provide a secure connection and to blend the stiffness of the metallic proximal tube and the flexible distal tube without significantly increasing profile.

Abstract: A dialysis catheter comprising a first portion having a first diameter, an elongated distal portion having a second diameter smaller than the first diameter, and a transition region between the first portion and distal portion. A first longitudinally extending central lumen configured to deliver blood terminates in an opening in the distal portion. At least two independent longitudinally extending lumens are positioned radially of the first lumen, configured to withdraw blood from a patient, and terminate in a longitudinally directed opening in the transition portion.

Abstract: A catheter having an elongate body including a central lumen adapted to slidably receive a therapeutic catheter. The catheter includes a soft tip adapted to lodge in the ostium of the right coronary artery. The elongate body is formed near the distal end to impinge against the wall of the aorta opposite the ostium of the coronary artery.

Abstract: An introducer catheter used to deliver an endocardial cardiac electrode has a stylet lumen which collapses upon removal of the stylet to allow for more clearance for the lead and connector to pass when the catheter is removed after lead placement. The collapsible stylet lumen permits the introducer catheter size to be reduced to 8 or 9 French and provide for passage of a 4 French lead.

Abstract: The present invention provides a catheter which combines the benefits of improved drug dispersion, increased accuracy of placement and kink and collapse resistance. The catheter comprises a flexible cylindrical tube having a proximal portion open at one end and a distal portion, the portions in fluid communication, the distal portion comprising a closed, rounded tip and a diffusion area having at least one opening therein which permits fluid flow, the proximal portion including a proximal tip, and at least one reinforcement member attached at the distal tip and at the proximal tip of the flexible cylindrical tube, with the remainder of the at least one reinforcement member movable within the flexible cylindrical tube. The catheters of the present invention can find use in a variety of local, regional and peripheral pain management applications.

Abstract: A micro catheter and guidewire system for use in tortuous regions of a vasculature includes a catheter body having a distal end, a guidewire lumen, a proximal region with an outer diameter, and a distal region with an outer diameter. The ratio of the proximal region outer diameter to the distal region outer diameter is at least 1.625:1 to improve pushability of the catheter body. The guidewire lumen defines a stopper and the guidewire has a depth stop for engaging the stopper of the guidewire lumen. The depth stop and the stopper cooperate to enable the guidewire to cooperate with the catheter to improve catheter pushability. The depth stop and the stopper also prevent over extension of the guidewire.

Abstract: A cannula having reinforced sections and nonreinforced sections, the nonreinforced sections having openings communicating with the lumen of the cannula. The nonreinforced sections are plain tubing and the reinforced sections are formed by winding a coated elongate member in a helical manner around a mandrel. The coated elongate member preferably has a square cross-sectional shape so that adjacent portions of the coated elongate member engage one another when the coated elongate member is wound around the mandrel. The coated elongate member is then heated so that the coating on adjacent portions of the coated elongate member fuse together to form an integral structure. Another layer of material may be provided on the radially inner or outer wall of the coated elongate member. The resulting tubular body is reinforced by the elongate member which is encased in the fused coating. The tubular body is cut into sections which are fused to the plain tubing sections to form the cannula.

Abstract: A steerable magnetic catheter having a proximal end, a distal end, and a lumen therebetween. The catheter has regions of different flexibility along its length. There is a magnetic body adjacent the distal end, which is responsive to an applied magnetic field. The magnetic body is sized and the flexibility of the distal end portion of the catheter is selected so that the distal end of the catheter can be manipulated with a magnetic field of a practical strength, eliminating the need for a guidewire.

Abstract: A multi-lumen catheter and method of manufacturing such a multi-lumen catheter having a plurality of individual catheter tubes. Each catheter tube has an outer surface, an inner surface and a lumen. The catheter tubes can be made of different thermoplastic materials. A mandrel is first inserted into the lumen of each catheter tube to provide support. The catheter tubes are then juxtaposed to each other in an arrangement. Importantly, the outer surface of one catheter tube is in contact with the outer surface of at least one other catheter tube in the arrangement. The arrangement of catheter tubes is then held in a sleeve and is advanced through the sleeve, and through a heating cylinder to fuse the outer surfaces of the catheter tubes. A cooling means is placed in the lumen of each catheter tube to prevent the inner surface of each catheter tube from melting.

Abstract: A first linear member made of a first resin material having a relatively high rigidity is wound in a dense spiral in a first region and in a sparse spiral in a second region of a base tube for a catheter, and a second linear member made of a second resin material having a relatively low rigidity is wound in a sparse spiral in the first region and in a dense spiral in the second region of the base tube. Then, the first linear member and the second linear member are melted by heating, followed by solidifying the molten materials, thereby forming a catheter excellent in pushability, torque transmitting capability, following capability, kink resistance and safety.

Abstract: The catheter comprises an elongate tube (11) having a proximal tube portion (12) and a distal tube portion (13) formed by stretching. The catheter is made throughout from an identical material. The distal tube portion (13) has a reduced outer diameter and thus is of a higher flexibility and softness. Therefore, the danger of injuries to vessels or the dura is decreased. The catheter can be produced in an inexpensive and simple manner.

Abstract: An intravascular catheter that exhibits the combined features of superior flexibility, softness, radiopacity and oval/kink resistance. The catheter includes an elongate shaft having a proximal region, a distal region and a lumen extending therethrough. The proximal region of the shaft includes an inner lubricious polymer layer, a reinforcement layer and an outer layer. The reinforcement layer comprises a braid having one or more metallic members and a plurality of polymer members wherein each polymer member comprises a plurality of monofilaments, preferably formed of LCP. The polymer members of the braid provide improved flexibility and softness in addition to high burst pressure. The metallic member(s) of the braid provide improved radiopacity and oval/kink resistance. The catheter may also include a longitudinal member extending along the reinforcement layer.

Abstract: An intravascular catheter (10,110) having an elongated tubular body with a proximal portion, a distal portion and a lumen extending therebetween. The tubular body is formed with polymeric materials, preferably containing no radiopaque filler, and metallic reinforcing braiding (22,130) configured to provide the catheter (10,110) with radiopaque properties and/or kink resistance.

Abstract: A catheter and system for delivering viscous fluid, under high pressures, into the vasculature of a patient includes a catheter body having a proximal end and a distal end, a reinforcing member surrounding at least a portion of the proximal end, and a compression fitting surrounding the reinforcing member for holding the proximal end of the catheter body. A strain relief element shrouds a portion of the proximal end to prevent kinking of the catheter body. Accordingly, the reinforcing member, the compression fitting and the strain relief element cooperate to hold the catheter body in a luer fitting and to prevent the proximal end of the catheter body from kinking under bending, and to prevent leakage or bursting under pressure.

Abstract: A catheter 1 suitable for advancement through a body passageway of a patient. The catheter 1 comprises a catheter body 4 which is flexible to provide the necessary trackability for the catheter 1 to advance through a body passageway, and two stainless steel reinforcement wires 5 extending along the catheter body 4 which provide the necessary pushability to advance the catheter 1 through the passageway. The reinforcements 5 are positioned diametrically opposed to one another by approximately 180 degrees on opposite sides of the longitudinal axis of the catheter 1, and the catheter body 4 is relatively soft and twistable. This configuration enables the entire catheter 1 to spontaneously twist during advancement so that the reinforcements 5 orientate themselves along a plane of neutral bending during advancement of the catheter 1. In this way, any resistance to the trackability of the catheter 1 due to the stiff reinforcements 5 is minimized.

Abstract: A spiral cut transition member is disclosed for controlling the transition in stiffness of a catheter from a stiffer more pushable proximal section to a more flexible and trackable distal section and increasing kink resistance. The transition member has a spiral cut provided therein to vary the flexibility of the transition member over its length. The pitch of the spiral cut can be varied to facilitate a gradual transition in flexibility along the catheter. The transition member may be used in conjunction with any type of catheter including single-operator-exchange type catheters, over-the wire type catheters, and/or fixed-wire type catheters.

Abstract: A catheter and system for delivering viscous fluid, under high pressures, into the vasculature of a patient includes a catheter body having a proximal end and a distal end, a reinforcing member surrounding at least a portion of the proximal end, and a compression fitting surrounding the reinforcing member for holding the proximal end of the catheter body. A strain relief element shrouds a portion of the proximal end to prevent kinking of the catheter body. Accordingly, the reinforcing member, the compression fitting and the strain relief element cooperate to hold the catheter body in a luer fitting and to prevent the proximal end of the catheter body from kinking under bending, and to prevent leakage or bursting under pressure.

Abstract: The invention is generally directed to an intraluminal catheter systems including an elongated shaft having proximal and distal shaft sections, and an inflatable member disposed on the distal shaft section and having an interior chamber. A guidewire receiving lumen extends along at least a portion of the proximal shaft section and at least a portion of the distal shaft section and extends distally to the shaft distal end. An inflation lumen extends along at least a portion of the proximal shaft section and at least a portion of the distal shaft section to a point proximal to a shaft distal end and is in fluid communication with the inflatable member interior chamber. The proximal shaft section has multiple non-concentric lumens with at least one lumen forming at least a portion of the guidewire receiving lumen and at least one lumen forming at least a portion of the inflation lumen.

Abstract: A delivery sheath including a series of longitudinally spaced apart retainer rings interconnected by flexible links. This configuration provides for sections of reduced cross-sectional area along the length of the sheath, thus increasing flexibility in those sections and in the overall sheath. The reduction of the cross-sectional area of the sheath also effectively reduces the area of contact between the inside surface of the sheath and the outside surface of the compressed stent. This reduction in contact area serves to reduce the frictional force generated as the sheath is retracted relative to the stent during deployment.

Abstract: An intravascular occlusion balloon catheter having a removable hub, a profile sized to approximate a guidewire, and a means for venting air from the balloon. The removable hub and the small profile allow the occlusion balloon catheter to be used as a guidewire. The venting means allows air to be easily and reliably removed from the balloon prior to use.

Abstract: Medical devices are provided with either a back end coil support or a sleeve support to prevent kinking of an inner wire used with the medical device. The medical device generally comprises an elongate tubular body having a lumen and an inner wire extending within the lumen. An expandable member is connected to the distal end of the tubular body. In one embodiment, a coil extends over the inner wire at the proximal end thereof. In another embodiment, the inner wire at its proximal end has at least one taper that increases the diameter of the inner wire to a size larger than the diameter of the lumen of the hypotube through which it extends. In another embodiment, a proximal hypotube is attached to the proximal end of the inner wire.

Abstract: The invention is directed to a guidewire having a distal section with multiple distally tapered core segments with at least two contiguous distally tapering core segments in which the most distal tapered core segment preferably has a greater degree of taper than the proximally contiguous tapered core segment. The invention is also directed to an elongated intracorporeal device, preferably a guidewire or section thereof, that has a core member or the like with a plurality of contiguous tapered segments having taper angles that are configured to produce a linear change in stiffness over a longitudinal section of the device. The device may also have a core section with a continuously changing taper angle to produce a curvilinear profile that preferably is configured to produce a linear change in stiffness of the core over a longitudinal section of the device.

Abstract: A deflectable catheter comprises a catheter body, a tip section, and a control handle for affecting deflection of the tip section. The tip section comprises a flexible tubing having proximal and distal ends and at least two lumens extending therethrough. The proximal end of the tip section is fixedly attached to the distal end of the catheter body. The flexible tubing comprises a plastic core, a metal braid over the core, a plastic skin over the braid, and at least two pieces of plastic tubing in longitudinal arrangement extruded over the plastic skin, wherein the at least two pieces of plastic tubing have different stiffnesses and are arranged with the stiffer plastic being proximal the less stiff plastic. The tip section is made by extruding a plastic core over at least one mandrel and braiding a metal over the plastic core.

Abstract: A catheter comprising an elongate tubular member having a proximal end, a distal end, and a passageway defining a lumen extending between the proximal and distal ends. The elongate tubular member comprises a relatively stiff proximal section and a relatively flexible distal section. The proximal section includes an inner tubular liner, a first stiffener comprising a metal alloy, and a second stiffener comprising a non-metal alloy. The first and second stiffeners are coaxially wound exterior to the proximal inner liner. The distal section includes a distal inner tubular liner and the second stiffener coaxially wound exterior to the distal inner liner. The first stiffener terminates before reaching the distal section.

Abstract: Flexible microcatheter having regions of different flexibility integrally and strategically placed along and about the length of a one-piece composite catheter tube. Distally the flexible microcatheter exhibits pronounced flexibility with respect to locations or regions of flexibility located proximally for navigation along tortuous vascular paths. Different regions of flexibility are formed by applying resins of different Shore hardness readings either singularly or in combination along and about a braid which overlies an inner resin layer. The encapsulated braid provides resistance to kinking and bending of the flexible microcatheter as well as providing for torque transmission and pushability along the length of the flexible microcatheter.

Abstract: A catheter has a flexible tubular body and a reinforcing coil embedded in a wall of said body, wherein said catheter has an outer diameter not larger than 1.5 mm at a front end thereof, said body has a first region disposed within a range of 1-30 mm from said front end of said catheter and a second region nearer to a rear end of said catheter than said first region; said coil extends from a position inside said first region to said second region; a part of said coil disposed in said second region is wound at long winding pitches; and a winding pitch of a part of said coil disposed in said first region is shorter than that of the part of the coil disposed in said second region and becomes shorter gradually or stepwise toward said front end of said catheter, whereby a rigidity of said catheter is lower in said first region than in said second region.

Abstract: The present invention provides a catheter which combines the benefits of improved drug dispersion, increased accuracy of placement and kink and collapse resistance. The catheter comprises a flexible cylindrical tube having a proximal portion open at one end and a distal portion, the portions in fluid communication, the distal portion comprising a closed, rounded tip and a diffusion area having at least one opening therein which permits fluid flow, the proximal portion including a proximal tip, and at least one reinforcement member attached at the distal tip and at the proximal tip of the flexible cylindrical tube, with the remainder of the at least one reinforcement member movable within the flexible cylindrical tube. The catheters of the present invention can find use in a variety of local, regional and peripheral pain management applications.

Abstract: High flow rate catheters, and related methods, are useful in dialysis and other procedures. A catheter according to the invention comprises a hub and a generally elongated conduit. The conduit has a substantially continuous and smooth wall. The conduit also defines at least one lumen and has a length extending from a proximal end to a distal end of the conduit. The proximal end is coupled to a hub and the distal end has an opening in communication with the lumen. The conduit has a conical shape which tapers along the length.

Abstract: A treating instrument for an endoscope has a flexible sheath and an operating part connected to the proximal end of the flexible sheath. A first buckling preventing member formed from a flexible cylindrical material covers a proximal end portion of the flexible sheath. One end of the first buckling preventing member is secured to the operating part. A second buckling preventing member formed from a flexible cylindrical material overlaps the first buckling preventing member at a region extending from an intermediate position on the first buckling preventing member to the proximal end thereof. One end of the second buckling preventing member is secured to the operating part.

Abstract: An apparatus and method for locking a catheter within a patient enables the catheter to be easily and securely locked and prevents the catheter from being inadvertently unlocked. The locking catheter includes an elongated body member including a proximal portion and a distal portion, a first proximal member, an elongated flexible member, and a second proximal member releasably couplable to the first proximal member to allow selective locking and unlocking of the elongated flexible member therebetween. The second proximal member includes a channel. The elongated flexible member extends from the distal portion of the elongated body member, through the first proximal member, and through the channel of the second proximal member. The elongated flexible member is slidable through the channel thereby allowing the distal portion of the elongated body member to be drawn toward the proximal portion of the elongated body member to form a loop in the distal portion of the elongated body member.

Abstract: A hub assembly for a catheter tube having a lumen therethrough. The hub assembly includes a hub portion having a proximal end and a distal end, and an integral connector disposed at the proximal end. A lumen is defined through the hub portion extending from the proximal end to the distal end. The strain relief includes a proximal end and a distal end is disposed at the distal end of the hub portion. The proximal end of the strain relief can be integrally connected to the distal end of the hub portion. The strain relief is preferably more flexible than the hub portion. The strain relief defines a passage configured to receive the catheter such that a lumen through the hub portion is in fluid communication with the catheter tube lumen.

Abstract: A medical device includes an elongated member and a reinforced retention structure. The device can be used for draining substances from organs or abscessed areas within a body of a patient. The elongated member is made of a flexible material. The reinforced retention structure extends from or is formed integrally with the elongated member and comprises an elastic member and the flexible material. The reinforced retention structure provides retention strength while providing flexibility and patient comfort. The use of the reinforced retention structure also provides increased stability to the device within the patient's body and combats migration and/or expulsion of the device. The nature of the reinforcement in the retention structure may extend into the elongated member, which allows for larger drainage openings in the device and increases the radiopacity of the device.

Abstract: A catheter (10, 38, 40, 50, 80, 90) having both a flexible (30) and a rigid reinforcement section (36). The catheter body (12) is comprised of an elastomeric material, such as silicone, having a resilient coil or spring member (30) within a fluid delivery lumen (20) along the proximal portion (14) thereof. The catheter is provided with a more rigid malleable reinforcement member (36) at the distal portion (16) thereof, also extending within the fluid delivery lumen (20) and positioned proximal the coil member (30) within the fluid delivery lumen (20). The rigid reinforced distal portion (16) of the catheter body helps the surgeon to hold the tip of the catheter more firmly, and makes insertion of the catheter tip into the body vessel easier. The more flexible support portion (30) at the proximal portion (14) of the elastomeric catheter body reinforces the catheter to prevent kinking, yet allows flexibility to facilitate the surgeon to move the proximal portion (14) of the catheter out of the surgical site.

Abstract: The catheter comprises a catheter tube formed of two superposed tubular layers of materials which differ from one another. A tubular mediator layer is arranged between the layers to provide an adhesive anchorage for the layers.

Abstract: A reinforced intravascular catheter adapted for use in performing minimally invasive medical procedures. A catheter, in accordance with the present invention, comprising an inner tubular member having an outer surface, a proximal end, a distal end, and a lumen extending therethrough. The catheter further including a support member overlaying the inner tubular member and conforming to the outer surface thereof, the support member including at least one filament forming a plurality of turns. The support member further including at least one multi-layered portion having a first layer and a plurality of additional layers, each layer comprising a plurality of turns formed by at least one filament, the plurality of additional layers each overlaying at least the first layer. The catheter also including an outer layer overlaying both the support member and the inner tubular member. A method of fabricating a catheter in accordance with the present invention is also disclosed.

Abstract: Introducer sheath (10, 30, 40) having a flexible kink-resistant distal tip portion (26, 32, 42). A multilayer sheath structure is used, with an inner tube (12) such as PTFE having a coil (14) of wire wound therearound. A first length of outer tubing (20) such as of nylon is inserted over most of the coil-wound inner tube (12) in a manner exposing a distal length of coil-wound inner tube. A second length of outer tubing (22) with a softer durometer than first outer tubing length (20), is inserted over the exposed coil-wound inner tube and extends for a slight distance beyond the end of the coil. During heat application, the outer tubing lengths (20, 22) are melted to bond to each other and to flow between the spacings of the coil turns to bond to the roughened outer surface of the inner tube (12). The distal tip region corresponding to the second tubing length is flexible and is kink-resistant due to the coil (14).

Abstract: The invention provides a nested tubing cannula which comprises outer and inner elongate tubular members, each having a proximal end, a distal end, and a lumen therebetween. The inner tubular member is sealed at its distal end and is nested substantially coaxially within the lumen of the outer tubular member, so that the gap between the inner and the outer tubular member defines a second lumen whereas the first lumen is the lumen of the inner tubular member. A tubular sleeve is disposed coaxially between the inner and outer tubular members. A balloon is mounted on a distal region of the outer tubular member and is in communication with the first lumen. The cannula further comprises a port proximal or distal the balloon occluder and is in communication with the second lumen. Methods for making the devices herein are disclosed.

Abstract: A flow directed microcatheter is formed having a gradually changing flexibility and diameter between a proximal end and a distal end of the microcatheter. The changing properties of the microcatheter according to the present invention provide the flexibility of the distal tip needed to allow the microcatheter to be directed by the flow of blood within the vasculature, and the columnar strength and torquability at the proximal end and along the length of the microcatheter needed to advance and direct the distal tip to the target site. A proximal segment of the microcatheter includes a plurality of strands which vary in diameter to change the flexibility of the microcatheter. A distal segment of the microcatheter includes an inner layer which is compatible with solvents, such as DMSO, and an outer layer which provides strength and flexibility. The proximal segment and the distal segment of the microcatheter are joined by a kink resistant fuse joint.

Abstract: The present disclosure relates to a catheter including a segment having a longitudinal axis, and a plurality of circumferential supports surrounding the axis. A plurality of filaments surround the circumferential supports to enhance torque transmission through the catheter segment.