Abstract: A catheter is formed with a layered wall construction including an inside tube formed of a low friction polymer, a polymeric outside tube, and a metallic reinforcement braid embedded in the wall between the inside and outside tubes. The braid is composed of multiple elongate flexible strands preferably of stainless steel, wound in two opposite directions and interbraided with one another. Each strand has a rectangular transverse profile, with a profile width at least three times the profile thickness. The strands are wound with their thicknesses directed radially of the catheter wall, permitting the catheter wall to be formed at a reduced thickness while maintaining favorable structural characteristics including pushability, torqueability, flexibility and resistance to kinking. As a result, the catheter's outside diameter can be reduced without reducing its interior lumen, or alternatively a larger interior lumen can be provided in a catheter of a given size.

Abstract: A hollow lumen cable is formed by helically winding inner and outer coils with the helices of each coil being in an abutting relationship and the outer coil inner peripheral diameter being less than the outer peripheral diameter of the inner coil. Preferably, each coil is multifilar. After the coils are wound, an unwinding force is applied to the outer coil and the inner coil is inserted into the outer coil to have its winding inclined opposite to that of the outer coil; and thence, the outer coil is allowed to contract to form an interference fit with the inner coil. The cable may be incorporated as part of a medical apparatus. The cable is bendable about the tight radii and has a high torque transfer resolution while having a small cable outer diameter, a relatively long life, and has a hollow lumen in which there is no structure or through which fluid, wires or medial devices may pass.

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: A cannula (1) comprises a shaft (2) extending between a proximal end (3) located externally of an operating space (4) and a distal end (5) inserted into the operating space (4). At least portion of the shaft (2) is malleable to maintain the distal end (5) of the shaft (2) in a desired manipulated position and/or orientation within the operating space (4) for insertion of a surgical instrument (10) through the cannula (1) for carrying out a surgical procedure within the operating space (4).

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: An intravascular catheter including a reinforcement layer having a plurality of interwoven metal wire members and polymer members. The polymer members are thermally processed to permeate the metal wire members to form a polymeric layer having an orientation which is interwoven with the metal wire members.

Abstract: A cannula having a proximal end, a distal end, and a lumen extending between the proximal and distal ends is provided. The diameter of the lumen of the cannula can be varied to take into account differences in the diameter of access and target vessels during cannulation. The cannula is further characterized by at least one mechanism that, upon actuation, serves to alter the conformation of the cannula between a normal profile conformation and a low profile conformation. The normal profile conformation is characterized by the cannula having a lumen diameter at the point of insertion which is smaller than the lumen diameter both proximal and distal to the point of insertion, with the lumen diameter distal to the point of insertion also expandable to the diameter of the cannulized vessel of the patient. The low profile conformation is characterized by the cannula having a lumen diameter at the point of insertion that is greater than the lumen diameter distal to the point of insertion.

Abstract: A thin walled intracorporeal catheter such as a guiding catheter employed for intravascular procedures which generally has an elongated catheter shaft with a polymeric wall with a stranded reinforcing structure having at least one strand and preferably most, if not all of the strands, formed of a metallic matereial containing at least 50%, preferably at least 65% by weight of a refractory metal such as molybdenum, tungsten rhenium, tantalum and niobium. The refractory metal containing strands of the reinforcing structure, which may have a circular or rectangular transverse cross-sectional shape, provide high levels of radiopacity with a high level of mechanical properties.

Abstract: Improved apparatus for the dialysis of blood, a method for fabricating the same, and an improved method for the dialysis of blood.

Abstract: An apparatus including an elongate body having a lumen extending therethrough and a steering wire, having a distal portion defining a non-circular cross-section, associated with the distal portion of the elongate body.

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: 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: Improved apparatus for the dialysis of blood, a method for fabricating the same, and an improved method for the dialysis of blood.

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 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: An elongate tubular body is disclosed, such as for use in medical applications. The body comprises a spring coil having at least one central lumen extending axially therethrough, for receiving medical implements, fiber optics, suction or transmission of fluids such as for irrigation or drug delivery. An elastomeric outer layer on the spring coil provides a substantially water impermeable seal. A distal tip may be integrally formed with the elastomeric outer layer.

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: A tubular extruded member particularly suitable for use in medical devices such as intravascular catheters and guide wires, wherein the extruded tubular member includes multiple layers having biaxial helical orientation in different directions. A counter-rotation extrusion process may be used to orient the layers in different biaxial helical directions. The counter-rotation extrusion process provides orientation in two different circumferential directions in addition to a longitudinal direction. By combining the dual direction or biaxial helical orientation with multiple layers, different layers of the tubular member may be tailored to have the desired mechanical properties.

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: This invention provides, e.g., a catheter with a threaded loop type snare tool for retrieval of objects from blood vessels and/or body cavities. The snare tool of the invention provides, e.g., independently maneuverable probe wires and snare wires to encircle and releasably snare foreign objects inside human and veterinary patients. The invention further provides methods of using the catheter of the invention to retrieve objects from patients.

Abstract: The present invention relates generally to intravascular catheters for performing medical procedures. An intravascular catheter is disclosed comprising a shaft, the shaft comprising an inner liner having a distal end, a distal tip; a second layer disposed over the inner liner, the second layer extending from the proximal end of the shaft to a distal terminus; a third layer disposed over the second layer; and a fourth layer disposed over the third layer, the fourth layer including a proximal end and a distal end. In addition, a method of manufacturing a catheter according to a preferred embodiment of the invention is disclosed.

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: 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: 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: An intracorporeal catheter such as a guiding catheter employed for intravascular procedures which generally has an elongated catheter shaft with a polymeric wall with a multistrand reinforcing structure wherein the strands at a plurality of cross point locations of the reinforcing structure are secured together to hold at least part of the braided reinforcing structure in a desired shape for utilization. The strands may be metallic or polymeric or mixtures thereof. The strands can be secured together at the cross points thereof by a variety of ways.

Abstract: A system of rotate-to-advance medical devices including catheters, dilators, occluders, stents, suprapubic catheters and camera introducers configured with external screw threads and depending substantially on rotation for means of advancement and emplacement in mammalian genitourinary and gastrointestinal passages and organs.

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: Disclosed herein is an improved core wire for use in a medical catheter. In one aspect, a tapering core wire is incorporated into the distal end of a catheter. The catheter has a tubular body. Both ends of an inflatable balloon are mounted to the tubular body. The core wire extends from the distal end of the tubular body. In one embodiment, substantially all of the taper of the core wire occurs in the extending portion of the core wire over a length of at least 15 mm but no more than 60 mm. In another aspect, a core wire with a shapeable tip and method of manufacturing the same are provided. A core wire previously made superelastic is subject to additional processing to remove its superelasticity thereby allowing the material to be shapeable to aid in advancing the core wire through a blood vessel or other body cavities. In another aspect of the present invention, a method is provided for securing the core wire to the distal end of an elongated catheter tubular body.

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: A catheter shaft is disclosed utilizing perfluoroalkoxy polytetrafluoroethylene (PFA) as a lubricious inner lumen for which to aid the advancement of additional medical devices. PFA possesses adequate lubricity while requiring no special fabricating techniques. Thus, PFA may be processed by conventional melt-extrusion techniques, as well as by injection, compression, rotational transfer, and blow molding processes; optimizing the manufacturability of the lubricious inner lumen. Additionally, the catheter shaft includes portions of the outer tubular member modified through an ablation process. The ablation process selectively removes extruded polymeric material around and between the contours of a braided support layer. In one illustrative embodiment, a portion of the outer layer of the catheter is removed by laser ablation and then refilled by polymeric inserts having various flexibility characteristics.

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: Improved apparatus for the dialysis of blood, a method for fabricating the same, and an improved method for the dialysis of blood.

Abstract: An over-the-wire balloon dilatation catheter has a stainless steel hypotube catheter shaft, an intermediate sleeve section bonded to the shaft and a distal balloon section connected to the sleeve section. The sleeve section is formed from relatively flexible polymer materials and includes an inner core tube which defines a guide wire lumen extending only through a distal portion of the catheter (including its sleeve and balloon sections) to facilitate fast balloon catheter exchanges. A distal end of the hypotube shaft is crimped laterally and the core tube is nested and bonded within the crimp to provide a proximal outlet for the guide wire lumen. The hypotube shaft provides an inflation lumen for the balloon, with the inflation lumen being continued as an annular inflation lumen through the sleeve section where an outer sleeve is bonded about the core tube and extends from the distal end of the hypotube shaft to the balloon section.

Abstract: A device for removing a thrombus or other tissue deposit from the cardiovascular system, natural or synthetic tubule or cavity found in the human body of a patient without the need to surgically access the location of the thrombus or other tissue deposit via a cut-down or other surgical procedure. A flexible metal or high pressure plastic tube conveys an extremely high pressure stream of sterile saline or other physiologic solution to at least one jet at the distal end of the catheter. At least one jet is directed at the opening of a large exhaust lumen or other target. The jet(s) is responsible for providing a localized negative pressure which entrains tissue into the jet from break-up of the debris. This jet(s) can also provide stagnation pressure in the exhaust lumen which drives the tissue or thrombotic debris out of the exhaust lumen. Operation of the device with tip pressure greater than 500 psi provides this device with the entrainment and exhaust characteristics which contribute to its effectiveness.

Abstract: Medical tubing having a wall formed of multiple strands bonded together. One method for making the tubing utilizes multiple spools containing polymeric strands disposed about a central mandrel, with the strands aligned with and disposed evenly about the mandrel, with both mandrel and strands entering a die or other bonding device. Adjacent strands are bonded together to form a tube wall, the tube preferably having at least one lumen therethrough. Adjacent strands are lightly bonded in some embodiments and highly bonded in others. Bonding can be accomplished using heat, solvent welding, or adhesive. The strands making up the tube wall can be formed of materials differing between strands. One use of the tubing is for constructing angioplasty catheters.

Abstract: This invention is a surgical device. In particular, it is a catheter suitable for treating a tissue target within the body, which target is accessible through the vascular system. Central to the invention is the use of stiffener ribbons, typically metallic, wound within the catheter body in such a way as to create a catheter having controllable stiffness.

Abstract: A deflectable guiding catheter generally having an elongated shaft with a deflectable distal section, a second lumen, a first lumen in fluid communication with a port in the distal end of the shaft, an elongated tapered deflection line within the second lumen, and reinforcement strands within a wall of the shaft. The first lumen is independent from the second lumen, and is therefore not obstructed by the deflection line. The longitudinal axes of the second lumen and first lumen are axially aligned with respect to one another, and are eccentric to the shaft longitudinal axis. The reinforcement strands and the deflection line extend in at least a portion of the deflectable distal shaft section to a location spaced proximally of the distal end of the deflectable distal shaft section.

Abstract: This is a delivery catheter assembly used typically, but not exclusively, in the peripheral vasculature of the human body. The catheter is configured in such a way that the lumen is exceptionally large and the catheter wall is exceptionally thin for a catheter of this class. The distal portion of the catheter contains a kink-resisting member, preferably a super-elastic alloy ribbon braid, which is embedded in the catheter wall. Proximally of the kink-resisting member, the catheter typically will have no other kink-resisting members. Finally, the catheter assembly uses long conical joints between component tubular members to provide smooth and strong transitions between those members.

Abstract: A hollow lumen cable is formed by helically winding inner and outer coils with the helices of each coil being in abutting relationship and the outer coil inner diameter being less than the outer coil inner diameter being less than the outer, peripheral, diameter of the inner coil. Preferably, each coil is multifilar. After the coils are wound, an unwinding force is applied to the outer coil and the inner coil is inserted into the outer coil to have its winding inclined opposite to that of the outer coil; and thence, the outer coil is allowed to contract to form an interference fit with the inner coil. The cable may be incorporated as part of various medical systems e.g., implantable pumps or other rotatable medical apparatuses. The cable is bendable about the tight radii, has a high torque transfer, a small outer diameter, and a hollow lumen through which fluid, wires or medial devices may pass.

Abstract: A flexible tube for an endoscope includes a spiral coil 11 as the innermost layer and a jacket 13 that is formed by applying a melt of a jacket material 1 and then curing it, in which the jacket material 1 has been allowed to penetrate through the gaps between adjacent turns of the innermost spiral coil 11 to reach the portion of its inner surface.

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: An intravascular catheter which has a lubricious catheter shaft formed from a polymeric blend comprising a thermoplastic polymeric component and a lubricious polymeric component. The lubricious polymeric component is immiscible in the thermoplastic polymeric component and exists as elongated fibers having a high aspect ratio. The lubricious component exists as a separate phase of elongated fibers which provide improved lubricity to an extruded catheter shaft formed of the polymeric blend of the invention. The aspect ratio of the lubricious component fibers is about 10 to about 100, and preferably at least about 20. The high aspect ratio of the lubricious component fibers increase the surface area of the lubricious component on the surface of the catheter shaft, and consequently increase the lubricity of the catheter shaft.

Abstract: This is a catheter suitable for accessing a tissue target within the body, typically a target which is accessible through the vascular system. Central to the concept of the catheter is the use of a reinforcing member wound within the catheter body in such a way to create a catheter having an exceptionally thin wall, excellent kink-resistance, and controlled stiffness. The catheter assembly desirably is constructed of: (a) an inner, polymeric, lubricious liner, (b) a first, helically wound coil over at least the more distal portions of the inner liner, (c) a second, helically wound coil exterior to the first coil located at least on the more proximal portion of the assembly, and (d) one or more outer polymeric coverings exterior to the second coil. Further polymeric layers may also be placed between the outer polymeric covering and the helically wound coils. The outer polymeric covering may be composed of a series of different polymeric compositions to provide suitably differing flexibilities to the assembly.

Abstract: An intracorporeal device, preferably a guidewire, and method of making same that has an elongate inner core element with an outer layer of material disposed about the core element. The layer of material can be applied as a braid, strand or smooth layer of material, and is preferably a metal. If the layer of material is applied as a braid or strand, it may be subsequently cold drawn so as to create a smooth layer from the braid or strand. The inner core element may be homogeneous, or may consist of drawn filled tubing with at least two layers of material, preferably biocompatible metals. In this way, the multiple layer distal section of the elongate core can be shaped or ground so as to achieve the desired mechanical properties and provide surfaces for attachment of components that are readily bonded or soldered to.

Abstract: A perfusion dilatation catheter is disclosed which has an improved distal catheter shaft portion with a tubular member extending within the balloon provided with an expanded coil support incorporated within the wall of the tubular member. The coil is preferably closer to the inner surface than the outer surface of the tubular member. Also disclosed are improved catheter shaft sections in a perfusion portion proximal to the balloon, one with a reinforced inflation tube depending into the guidewire lumen and another having three separate lumens, a central guidewire lumen and a pair of inflation lumens on opposing sides of the tubular structure defining the guidewire lumen.

Abstract: A catheter includes a segment having a longitudinal axis. The segment includes a polymeric tube having interior and exterior surfaces separated by a wall thickness. The interior surface defines a catheter lumen which extends coaxially with the longitudinal axis. The exterior surface is sized for the tube to be passed through a patient's vasculature system. The segment further includes a substantially straight, flexible guide member disposed within the tube's wall thickness. The guide member has a longitudinal dimension extending parallel to and radially spaced from the segment's axis. The guide member is plastically deformable when bent around a bending axis perpendicular to the longitudinal dimension beyond a bending limit.

Abstract: A medical catheter including a continuous liner defining a guidewire lumen. The liner has a constant inner diameter and a constant outer diameter. A continuous layer is braided over the liner and encapsulated between the liner and a bump layer. The bump layer has a proximal segment, and a bump section. The bump section has a transition zone at the proximal end of the bump section. The proximal segment has a distal end affixed to the proximal end of the bump section. The proximal segment of the bump layer has an outer diameter which is less than the outer diameter of the bump section of the bump layer. The transition zone has an outer diameter which smoothly transitions from the outer diameter of the distal end of the proximal segment of the bump layer to the larger outer diameter at the distal end of the transition zone. The bump layer is encapsulated between the outer jacket layer and the braided layer.

Abstract: An introducer system having an elongate shaft with proximal and distal ends. A flexible sleeve is mounted on the distal end of the shaft and is adapted to circumferentially cover the outer surface of a distal end of a cannula when the shaft is positioned within a lumen of the cannula. The introducer system has dilation capabilities which facilitates insertion of a medical device into a vessel or organ. Methods of using the devices herein are also disclosed.

Abstract: An intraluminal catheter which provides access to distal locations within a patient's body lumen and which is provided with a flexible distal section having an inner lining, an outer jacket or coating and a helical coil between the lining and jacket. The distal section of the catheter is quite flexible yet it has sufficient transverse or radial rigidity to prevent significant distortion of the transverse cross-sectional shape of the catheter.