Abstract: An elongate medical device includes a tubular member extending between a proximal end and a distal end that has a wall defining a lumen extending therethrough. The elongate medical device also includes a loop portion comprising a plurality of wires having proximal portions embedded into the wall and distal portions which are connected together to form a loop that is distal the distal end of the tubular member.

Abstract: A catheter assembly employs an outer catheter with a pre-formed distal end and an open lumen. An inner catheter having an open lumen and a pre-formed distal end is movably disposed within the outer catheter. Relative rotation and extension of the inner and outer catheters provides the distal end of the catheter assembly with an adjustable range of two- and three-dimensional shapes. The inner catheter can include sections of varying stiffness, such that extension of the inner catheter within the outer catheter modifies the shape of the outer catheter's pre-formed distal end. One or both of the outer and inner catheters includes an occlusion balloon attached to the distal end thereof. The adjustable shaping of the catheter assembly's distal tip provides an improved system for locating and cannulating cardiac venous structures, particularly the coronary sinus via the right atrium.

Abstract: A catheter, such as an intravascular catheter, includes a longitudinally pre-oriented tubular substrate and reinforcing means surrounding and in contact with the substrate, the reinforcing means wound over the substrate, and a tubular superstrate surrounding the reinforcing means forcing the reinforcing means against the substrate and maintaining the reinforcing means wound over the substrate. The reinforcing means is a micro-tape having a width less than 0.5 mm and includes a filament layer having a cross sectional aspect ratio (width/height) of 2 to 20, wherein the filaments are fixated by a cured or solidified resin or wax, which constitutes 2 to 40 wt % of the micro-tape.

Abstract: A catheter comprises a flexible polymer catheter body including a proximal shaft section and a distal working section, a wire support structure embedded within the distal working section of the catheter body, a proximal adapter mounted to the proximal shaft section of the catheter body, and a wire disposed within the catheter body. The wire has a proximal end and a distal end. The proximal end of the wire being operably connected to the proximal adapter, and the distal end of the wire is anchored to the wire support structure.

Abstract: A catheter assembly includes an inner liner made of flexible material and an outer layer having a steering mechanism. The steering mechanism includes at least one flat wire and a corresponding lumen through which the flat wire may travel. The steering mechanism may also include at least one pull ring to which the flat wires are attached. A layer of heat shrink material may encompass the outer layer. A braided wire assembly may also be provided in the outer layer, and may be formed by braiding a plurality of flat wires into a wire mesh. The overall cross-section of the catheter assembly is preferably substantially circular. A catheter shaft may include a plurality of segments of differing hardness characteristics. The outer layer typically comprises a melt processing polymer such that the catheter assembly may be laminated using heat.

Abstract: The present invention is a splitable/peelable reinforced flexible tubular body (10) for a catheter or sheath (12). The body (10) comprises a proximal end (14), a distal end (16), a wall structure (18), and a lumen (20) defined by the wall structure (18). The wall structure (18) extends between the ends and includes a reinforcement layer (22) within the wall structure (18) and a separation line (26) extending longitudinally along the wall structure (18). The separation line (26) is adapted to facilitate the splitting/peeling of the wall structure (18) to allow a medical device such as a pacemaker lead to be removed from within the tubular body (10).

Abstract: The intravascular catheter has two segments; a proximal segment with high stiffness and a distal segment with lower stiffness. The catheter can also have an intermediate segment of lower stiffness than the proximal segment and higher stiffness than the distal segment. The catheter comprises a polymeric inner tube, a reinforcing inner jacket which is spirally wound over the inner tube and which becomes progressively softer from a proximal end to a distal end, and a polymeric outer sheath extruded over the inner jacket according to the teachings of U.S. Pat. No. 5,445,624. The reinforcing jacket comprises helical coiled wires or fibers of various materials and layers wound over the inner tube in order to provide improved multi-axial mechanical properties, such as torque, compression, tension and anti-kinking characteristics.

Abstract: This is a balloon catheter having at least two lumens. One of the lumens is a large working lumen. The balloon catheter is especially useful as a guide catheter or micro catheter and may be used in a variety of therapeutic and diagnostic procedures. In particular, it has value in treating neurovascular embolic strokes in combination with other devices which are delivered to the stroke site through that working lumen. The remainder of the lumens typically are used to inflate and to deflate the balloon.

Abstract: An endovascular sheath apparatus 2 is provided. The endovascular sheath apparatus 2 includes an inner tube 12 that includes a lumen 26 for introducing medical fluids or devices and an outer surface. The apparatus 2 further includes an outer tube 22 with an interior surface. The outer and inner surfaces define a cavity 28 therebetween. The apparatus 2 still further includes a stiffening component 20 which in one embodiment includes a braided material that is at least partially received in at least part of the cavity 28. An actuating mechanism 18 cooperates with the stiffening component 20. A method of providing intravascular delivery of a sheath includes the steps of providing an inner tube 12; positioning a stiffening component 20 around the inner tube 12; and deploying an actuating mechanism 18 that cooperates with the stiffening component 20, a stiffness characteristic of which being adjustable extra-corporeally by movement of the actuating mechanism in combination with the stiffening component.

Abstract: A body of a catheter includes an inner layer, a braid, and an outer layer. The braid includes first and second wires. The first and second wires can be joined together such that the distal end portion of the first wire winds itself around a side surface of the second wire. A joint includes a first joint portion positioned at the intersection point, a second joint portion positioned beyond the first wire in a width direction of the first wire, and a third joint portion positioned beyond the second wire in a width direction of the second wire. Thus, even when the first and second wires have small thicknesses for size reduction of the braid, the first and second wires can be joined together with high joint strength by increasing the area of the second joint portion or the thickness of the third joint portion.

Abstract: A catheter shaft includes an inner layer of a first polymeric material, an intermediate layer of a second polymeric material, an outer layer of a third polymeric material, a first wire reinforcing layer encapsulated between the inner and intermediate layers, and a second wire reinforcing layer encapsulated between the outer and intermediate layers. Typically, the first wire reinforcing layer includes one or more metallic wires helically wound in one direction and the second wire reinforcing layer includes one or more metallic wires helically wound in the opposite direction. The intermediate layer is bonded to the inner and outer layers, as by extruding layers over one another or by thermal lamination or reflow bonding. Typically, the intermediate layer has a larger yield strain and/or a lower flexural modulus and/or a lower durometer than at least one of the inner layer and the outer layer.

Abstract: A catheter includes an inner layer, a braid, an outer layer, and a distal tip. A recessed region having a first side and a second side is formed in a distal end portion of the braid, a length of the first side being longer than the sum of a wire width of a first wire and a distance between two adjacent first wires, a length of the second side being longer than the sum of a wire width of a second wire and a distance between two adjacent second wires. The distal tip is bonded to the inner layer in the recessed region. By providing the recessed region, the number of peaks formed in the distal end portion of the braid is made smaller than that in the existing case.

Abstract: A flexible composite tube for medical applications is described. The tube has the ability to transmit a torque and to resist compression, tension, and kinking. The tube is also very flexible in bending, and has a small wall thickness. Different layers are used to obtain the desired properties. Torsional stiffness is obtained by embedding a braid in an elastomeric material. Resistance to kinks and to compression and tension is obtained by placing coils radially inward or outward of the braid. Smooth plastic layers are used to seal the assembly, and facilitate sliding in a body cavity.

Abstract: The invention relates to a medico-technical device for at least partially introducing into a body passage. Said device comprises an elongate, tubular, flexible internal body (2), an elongate exterior enveloping body (3) which surrounds, at least partially, said internal body (2) on the periphery thereof, and a device (4) for transferring the device (1) from a flexible state to a rigid state and vice-versa. The invention is characterized in that the internal body (2), which is in the form of a double tube (5), comprises an inner tube (6) which forms an inner wall (8) of the internal body (2) and an external tube (7) which forms an external wall (9) of the internal body (2), said external tube (7) surrounding the inner tube (6) in a concentric manner on the periphery thereof.

Abstract: A method of manufacturing a catheter shaft includes the steps of forming an inner layer of a first polymeric material, forming a plait matrix layer including a second polymeric material about the inner layer, and forming an outer layer of a third polymeric material about the plait matrix layer. The plait matrix layer includes a braided wire mesh partially or fully embedded within the second polymeric material, which is different from at least one of the first polymeric material forming the inner layer and the third polymeric material forming the outer layer. The second polymeric material has a higher yield strain and/or a lower hardness than at least the first polymeric material, and preferably both the first and the third polymeric materials. The first polymeric material and the third polymeric material may be different or the same. The catheter shaft may be formed by stepwise extrusion, co-extrusion, and/or reflow processes.

Abstract: A catheter set includes a catheter and a fixing device. The fixing device includes a tubular member which is formed in such a way as to increase or decrease in diameter under axial extension or compression. A first projection and a second projection are provided at both ends of the tubular member. A movable tubular body is disposed around the tubular member between the first projection and the second projection. A distal part is coupled to the tubular member by a support member. The distal part is disposed distally of the tubular member and is configured to at least contact a proximal portion of a tubular device for medical use through which the catheter runs.

Abstract: The invention encompasses a catheter having an outer surface, a distal end, and at least one interior lumen, wherein the outer surface includes multiple aspiration passageways in fluid communication with an interior lumen. A preferred embodiment comprises multiple aspiration passageways formed into a helical pattern.

Abstract: The present embodiments provide an introducer sheath having a braided member and methods of manufacture. The introducer sheath comprises an inner tube, a braided member disposed over at least a portion of the inner tube, and an outer tube disposed over the inner tube and the braided member. In one embodiment, the braided member comprises a plurality of intersecting first and second wire segments at least partially covered with a coating. At least a portion of the first and second wire segments are bonded together at one or more intersections, for example, by melting the coating, to reduce movement of at least one of the first and second wire segments with respect to one another. Optionally, a coiled member having a plurality of turns may be disposed over a portion of the braided member and the inner tube.

Abstract: A device for retrieving an intravascular device from a body lumen is disclosed. A retrieval device in accordance with an exemplary embodiment of the present invention includes a braided member coupled to an elongated shaft member. The braided member may include a number of filaments defining a radially expandable inner lumen configured to receive and encapsulate the intravascular device therein. An elastomeric jacket disposed about at least a portion of the braided member may encase the filaments.

Abstract: A hybrid microguide catheter and method for making and using the same. The catheter may include a first tubular member and a second tubular member. The tubular members may be arranged so that the second tubular member extends distally beyond the first tubular member. Alternatively, the catheter may include a tubular body having a first opening and a second opening. The first opening may be positioned along the tubular body a distance from the second opening.

Abstract: Methods and devices for preventing fluid flow through the relatively short guidewire lumen of a rapid exchange catheter. The guidewire lumen for a rapid exchange catheter is provided with a narrowed or sealed section allowing for passage of a guidewire therethrough while preventing fluid flow while a guidewire is disposed therethrough. The narrowed or sealed section extends for a relatively short length of the guidewire lumen to avoid creating excessive friction between the guidewire and the guidewire lumen. In several embodiments the narrowed or sealed section is placed proximal of the distal end of the guidewire lumen.

Abstract: The subject matter relates a catheter having a helical or spiral tip defining an aspiration port for removing obstructions from blood vessels.

Abstract: A trocarless intravenous cannula with a multifilament tip is described. The trocarless intravenous cannula has a tapered, distal multifilament tip that is comprised of a plurality of individual filaments. In one aspect, the distal part of the cannula is fenestrated. The tip and the distal part of the cannula may both be covered in a dry, water-soluble coating.

Abstract: An elongate medical device including an inner elongate member, a reinforcing member, and an outer tubular member is described. The reinforcing member may be a helically wound continuous wire including a first portion having a first cross-sectional profile, a second portion having a second cross-sectional profile, and a transition region located between the first portion and the second portion. The first cross-sectional profile may be different from the second cross-sectional profile. In some embodiments, the first cross-sectional profile may be circular or non-circular and the second cross-sectional profile may be circular or non-circular.

Abstract: The invention relates to an elongated torque tube for use in medical applications. The torque tube comprises an elongated tubular structure having a cylindrical cross section and defining a longitudinal axis and a circumferential axis, the elongated tubular structure including a helical cut having a finite thickness and extending along the length of the elongated tubular structure, the helical cut being aligned with the circumferential axis and including a plurality of protrusions extending along the longitudinal axis, the protrusions defined by discontinuous cuts aligned with the longitudinal axis.

Abstract: A device and method for preventing an occlusion of a catheter including a catheter adapter and a catheter where a flexured portion of the catheter is supported by a bending surface of the catheter adapter. The flexured portion of the catheter may also include a maximum insertion length mark and/or a flexible support member to support and strengthen the flexured portion of the catheter against occlusions. A bending surface is provided over which a flexured portion of the catheter may gently bend to accommodate the transition of the catheter from the catheter adapter to the insertion site without occluding the catheter.

Abstract: An introducer sheath and a method for making the sheath. The sheath includes a fluoropolymer liner having a passageway extending longitudinally therethrough. An inner jacket is positioned longitudinally over the liner, and the inner surface of the inner jacket is bonded to the outer surface of the liner. An outer jacket is positioned longitudinally over the inner jacket, and the inner surface of the outer jacket is bonded to the outer surface of the inner jacket. A reinforcing coil is encapsulated within the inner jacket and the outer jacket.

Abstract: A method and apparatus for fluid delivery enables navigation through tortuous, spatially restricted body anatomy to access narrow diameter body lumens for the continuous delivery of fluids, including therapeutic fluids, to the lumen in an atraumatic manner that avoids damage to the body lumen. The fluid delivery device can have a flexible conduit having a proximal end, a distal end, and a lumen extending along an interior of the flexible conduit providing a fluid flow path between the proximal and distal ends, where the lumen transitions into a micro-lumen exiting through a port through which a high concentration of fluid injected into the lumen exits laterally out along an image viewable zone at the distal end of the flexible conduit. The flexible conduit has a maximum outer diameter sized sufficient to navigate narrow diameter body lumens.

Abstract: A medical catheter for inserting into a body includes a bump tubing section with proximal and distal ends, wherein the proximal end is configured to mate with a hub. The bump tubing section has an intermediate portion extending away from the proximal end with a substantially constant outer diameter and thickness, and a taper portion adjacent the distal end with generally decreasing inside and outside diameters to provide a gradually increasing flexibility toward the distal end of the bump tubing section. The bump tubing section is comprised of a polymer having a predetermined flexural modulus. A tip section is disposed distally of the distal end of the bump tubing section comprising a distal liner and a distal cover such that at least a majority of the tip section has a substantially constant stiffness and a flexural modulus substantially equal to or greater than the predetermined flexural modulus.

Abstract: An elongate medical device includes a tubular member extending between a proximal end and a distal end that has a wall defining a lumen extending therethrough. The elongate medical device also includes a loop portion comprising a plurality of wires having proximal portions embedded into the wall and distal portions which are connected together to form a loop that is distal the distal end of the tubular member.

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: A catheter assembly for cannulating an ostium of a coronary sinus of a heart comprises an outer catheter member and an inner catheter member. The outer catheter member has a distal end portion including a deflectable distal end and a lumen extending through the deflectable distal end, wherein the distal end portion includes regions of varying stiffness and has a pre-formed curvature. The inner catheter member is slidably and rotatably disposed within the lumen of the outer catheter member, and has a distal end portion including a distal end, and a lumen extending through the distal end. The distal end portion of the inner catheter member has regions of varying stiffness and a pre-formed curvature. The outer and inner catheter members are configured such that relative translation and rotation of the outer and inner catheter members causes the distal end of the outer catheter member to assume a plurality of two and three dimensional shapes.

Abstract: A medical catheter including a composite laminated shaft having a segment that is mechanically deformed to have reduced stiffness.

Abstract: Steerable medical delivery devices and their methods of use.

Abstract: Catheters for aspiration of thrombotic, atherosclerotic or other particulate embolic debris from a blood vessel. An elongate flexible aspiration tube has an aspiration lumen defined by a reinforced tube wall. A guidewire tube is secured alongside the aspiration tube extending proximally from a distal end thereof to define either over-the-wire or single operator catheter configurations. The portion of the aspiration tube alongside the guidewire tube has an oval transverse cross section with a minor axis extending transversely through the guidewire tube. The oval cross section of the aspiration tube improves the catheter's efficient use of cross sectional space by making the overall catheter transverse cross section nearly equal in orthogonal dimensions. Methods of making aspiration catheters are also disclosed, including permanently deforming the portion of the aspiration tube into an oval transverse cross section.

Abstract: A compact, nonelectric fluid dispenser for use in controllably dispensing beneficial agents such as propofol and dexmedetomidine hydrochloride to patients. The dispenser includes a fluid flow control assembly that precisely controls the flow of the medicament solution to the patient and embodies a collapsible, pre-filled drug container that contains the beneficial agents to be delivered to the patient. The unit-dose fluid dispenser of the invention is presented in a sterile and aseptic manner, where the drug has been pre-filled in the system, so that the practitioner cannot mistakenly give the wrong drug to the patient. The dispenser uniquely provides a more efficient medicament delivery system for procedure rooms, such as the endoscopy center, so that a greater number of patients can be treated per day at a higher standard of care with increased profits for the healthcare provider.

Abstract: A compact, nonelectric fluid dispenser for use in controllably dispensing beneficial agents such as propofol and dexmedetomidine hydrochloride to patients. The dispenser includes a fluid flow control assembly that precisely controls the flow of the medicament solution to the patient and embodies a collapsible, pre-filled drug container that contains the beneficial agents to be delivered to the patient. The unit-dose fluid dispenser of the invention is presented in a sterile and aseptic manner, where the drug has been pre-filled in the system, so that the practitioner cannot mistakenly give the wrong drug to the patient. The dispenser uniquely provides a more efficient medicament delivery system for procedure rooms, such as the endoscopy center, so that a greater number of patients can be treated per day at a higher standard of care with increased profits for the healthcare provider.

Abstract: Alternative design, material, manufacturing method, and use for medical devices, such as catheters, catheter shafts and the like. An example includes a medical device, such as a catheter shaft, including an elongated tubular braid comprising a plurality of filaments and including an end portion coated with a first polymeric material having a first melting point temperature, wherein the first polymeric material attaches the braid filaments together. A second polymeric material having a second melting temperature lower than the first melting point temperature may be attached to the coated end portion of the braid. In some embodiments, the underlying a first polymeric material may reduce the tendency of the braid to flair into the second polymeric material. Other examples relate to methods of making such medical devices, such as a catheter shaft, of the like.

Abstract: A connector system includes an engagement mechanism is provided that includes an engagement feature and a braided reinforcement coupled with a proximal portion of a catheter. The engagement feature can include one, two, or two or more barbs.

Abstract: A dual braided catheter shaft includes a flat wire forming the inner braid, thereby potentially allowing for reduced radial thickness of the shaft. In one embodiment, the shaft (100) includes an inner polymer jacket (104), an inner braid (106) formed on the inner jacket (104), an intermediate jacket (108) formed over the inner braid (106), an outer braid (110) formed on the intermediate jacket (108) and an outer jacket (112) formed on the outer braid (110). A preferred construction process involves extruding polymer material directly onto each of the inner and outer braids (106 and 110) so that little or no air gaps remain between the polymer material and the braids (106 and 110). The braiding parameters of the inner and outer braids (106 and 110) can be varied along the length of the catheter to provide varying mechanical properties.

Abstract: A retention device for use in a human or mammalian body includes superelastic wires that expand when they are released from a confined state. The retention device may have the outer form of a Foley catheter. One or more superelastic wires within the balloon of a Foley catheter help to insure retention within the body, such as within a urinary bladder.

Abstract: A guide catheter and a needle catheter are disclosed. The guide catheter construction provides for maximum articulation of the deflectable tip and maximum torque response during rotation. The needle catheter may include a release mechanism that imparts a sudden force to the needle in order to facilitate tissue penetration.

Abstract: A catheter includes an elongate member having a braided reinforcing layer. The reinforcing layer comprises a plurality of continuous filaments that transform from a braided configuration to short axially oriented segments in a least one location along the catheter. Also disclosed is a method of manufacturing a braided elongate member including providing a core, forming at least one braided portion with a plurality of filaments and forming at least one short axially oriented segment with at least a portion of the same plurality of filaments.

Abstract: Biodegradable polymers formed from biodegradable polyester-based prepolymers, to which ring-structured anhydrides which have different hydrophobicities have been connected, and which are either coupled to form linear thermoplastic polyester anhydrides or cross-linked to form network-structured polyester anhydrides. It is possible to adjust widely the degradation rate and mechanism of the polymers and thus they can be used, for example, in the controlled dosing of pharmaceutical ingredients, for tissue technological applications, in surgery and in bioactive composites.

Abstract: A low profile guiding catheter has a non-round shape for use in delivery of multiple microcatheters for treatment of neurovascular defects, such as for treatment of aneurysms. The low profile guiding catheter includes torque transmittal guidance walls that are flexible linearly but not circumferentially, and that are neither collapsible nor kinkable.

Abstract: A catheter assembly including at least one introducer defining a passage receiving an elongate tubular member having a proximal end, a distal end, and a lumen extending between an elongate shape-imparting element received in the lumen and imparting a predetermined shape to the distal end of the elongate tubular member, when the distal end of the elongate tubular member is extended beyond a distal end of the at least one introducer. A distal end of the one-piece shape-imparting element extends from the lumen of the elongate tubular member and is anchored proximal the distal end of the at least one introducer.

Abstract: A method for making a deflectable catheter includes positioning a flexible element along a catheter liner. A flexible element distal portion extends along at least a portion of a deflectable distal end portion of the catheter liner. At least one anchor is engaged to the flexible element distal portion. The anchor extends at least part way around the flexible element distal portion. An encapsulant is positioned around at least the flexible element distal portion and the deflectable distal end portion.

Abstract: A high performance wire guide is disclosed, having a core wire and an outer member disposed about the core wire for enhanced torque transmission along a longitudinal length of the core wire. The outer member may be an outer coil wrapped around the core wire in an interference fit.

Abstract: A medical device including a sheath having an inner liner and an outer layer attachable to a coil independent from each other to allow the inner liner and the outer layer the freedom to move coaxially independent from each other. The coil can be closely wound at a predetermined coil spacing sufficient to inhibit portions of the outer layer from entering into voids between the adjacent coil windings. Intermediate layers for bonding between the coil and the inner liner and/or the outer layer may also be provided. A filler material can be disposed within the voids between the adjacent windings of the coil. The filler material has a dimension sized to bridge the void between adjacent coil windings in order to inhibit portions of the outer layer from bonding to the inner liner. The filler material can be in the form of a ribbon.

Abstract: A multi-layered catheter is provided, having a proximal end, a distal end, and a lumen extending therethrough. The catheter can have various sections of different flexibility extending distally along the length of the catheter. The catheter can have four layers along a proximal portion, and three layers along a distal portion. In some embodiments, the layers can comprise at least a stainless steel coil and a stainless steel braid. The catheter can exhibit both flexibility as well as kink resistance.