63results about How to "Improve pushability" patented technology

The instant invention relates generally to introducer catheters used to help deliver catheters or other medical devices to locations within the human body. In particular, the instant invention relates to large diameter introducer catheters (introducer catheters with lumens greater than about 6 French) having increased strength, flexibility, and kink resistance. Introducer catheters according to the teachings herein may also include curved distal ends and flared (that is, funnel-like) transition sections within their lumens.

Catheters and methods are provided for performing medical procedures, such as tissue ablation, adjacent the ostia of anatomical vessels, such as pulmonary veins. The catheter comprises an elongated flexible integrated catheter body having proximal and distal shaft portions and at least one operative element carried by the distal shaft portion. The distal shaft portion has a proximal section configured to be internally actuated (e.g., using a steering mechanism or pre-shaping the proximal section) to form a simple curve with an apex that can be inserted into the vessel ostium, an intermediate section pre-shaped to form a curve that bends opposite the simple curve, and a distal section configured to be placed into a non-radial relationship (tangential or oblique) with the vessel ostium when the apex of the simple curve is inserted into the vessel ostium. By this arrangement, the operative element is configured to be placed firmly in contact with tissue at a predefined radial location relative to the vessel ostium when the apex of the simple curve is inserted into the vessel ostium.

A steerable catheter may have a flexible shaft extending between a proximal and distal end, with a hub affixed to the proximal end, and at least one actuator for causing the catheter distal end to move or bend in a desired direction. The catheter shaft defines at least one passage or steering lumen, at least one of which has a closed distal end. The hub may have a number of actuators, such that each actuator may affect the pressure of a pressure medium in a steering lumen. When specific actuators are activated, the pressures in each of the steering lumens may be disparately raised and/or lowered, so as to cause a portion of the catheter shaft to tend to bend in a specific direction. For example, one or some of the actuators may be used to change the pressure of the associated steering lumens, causing the catheter shaft to bend. Also, in the case of a steerable catheter having more than one actuator, all of the actuators may be activated to raise the pressure of all of the steering lumens, tending to temporarily increase the column stiffness and pushability of the catheter shaft.

A catheter having an elongated shaft having at least a section which is multilayered with a first layer and a second layer secured to the first layer, and a mandrel having at least a section between the first and second layers. In one presently preferred embodiment, the mandrel is in contact with an outer surface of the first layer and with an inner surface of the second layer.

A catheter comprising an inflatable balloon having a proximal end, a distal end, and an inflation cavity therebetween, a catheter shaft having the inflatable balloon affixed proximate a distal end thereof, the catheter shaft having an inflation lumen fluidly connected to the balloon inflation cavity. A guidewire lumen extends through the balloon cavity within a tubular member which is affixed to the inflatable balloon proximate the distal end. A reinforcing sleeve, having a proximal portion and a distal portion with a lumen extending therethrough, wherein the distal portion of the sleeve extends into the inflation cavity with at least a portion of the tubular member slidably disposed through the lumen thereof and the proximal portion is fixed relative to the catheter shaft and disposed in the catheter shaft inflation lumen.

A rapid exchange balloon catheter has a short rapid exchange length for faster catheter exchanges the balloon catheter includes a balloon structure having a balloon leg connected to a catheter shaft. Marker bands may be provided in the balloon leg for facilitating measurement of a dimension of physiological features. A stiffening wire extending longitudinally at least partially into the balloon leg may be provided to supplement and control the flexibility characteristics of the balloon leg.

A catheter having an elongated shaft and a balloon on a distal shaft section, the elongated shaft comprising an outer tubular member, and an inner tubular member which has a bonded portion along which an outer surface of the inner tubular member is bonded to an inner surface of the outer tubular member. The inner tubular member has a proximal portion proximal to the bonded portion, and a distal portion distal to the bonded portion with higher axial compression stiffness and column strength than the proximal portion thereof. The catheter has improved traceability, axial collapse resistance, pushability, and crossability, for improved ability to position the balloon at a desired location in a patient's body lumen.

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.

A balloon catheter device of the present invention includes an elongate catheter shaft comprising multifilar cable tubing having a proximal portion and a distal portion. The proximal portion includes a coating that allows the shaft to provide a patent fluid passage, and a part of the distal portion inside a balloon may be uncoated or otherwise open to the balloon lumen, allowing for passage of fluid through the shaft into the balloon lumen.

A vaso-occlusive device includes inner, intermediate, and outer elements arranged coaxially. The inner element is a filamentous element, preferably a microcoil. The intermediate element is made of a non-metallic material, preferably an expansile polymer. The outer element is substantially non-expansile and defines at least one gap or opening through which the intermediate element is exposed. In a preferred embodiment, when the intermediate element is expanded, it protrudes through the at least one gap or opening in the outer element and assumes a configuration with an undulating, convexly-curved outer surface defining a chain of arcuate segments, each having a diameter significantly greater than the diameter of the outer element. The expanded configuration of the intermediate element minimizes friction when the device is deployed through a microcatheter, thereby reducing the likelihood of buckling while maintaining excellent flexibility. The result is a device with enhanced pushability and trackability when deployed through a microcatheter.

Apparatus for enhancing pushability and minimizing kinking of a balloon catheter is provided, wherein a catheter comprises inner and outer tubes, and a balloon that is proximally affixed to the outer tube and distally affixed to the inner tube. The outer tube extends distal to the proximal affixation point and at least partially into the balloon segment to provide additional stiffness and pushability. The outer tube may taper and connect to the inner tube or to radiopaque markers disposed thereon. The outer tube further may be selectively reinforced, as by using multipart construction or using different tube textures, to selectively provide added stiffness in areas susceptible to kinking.

Delivery systems, and methods using the same, having an ultrasound viewing window for improved imaging and a needle for ablation treatment of target tissues. In an embodiment, the target tissue is a fibroid within a female's uterus. In an embodiment, the delivery system includes a rigid shaft having a proximal end, a distal end, and an axial passage extending through the rigid shaft. In an embodiment, the axial passage is configured for removably receiving the ultrasound imaging insert having an ultrasound array disposed a distal portion.

A catheter includes a proximal shaft having a relatively high rigidity, a distal shaft provided on a front portion of the proximal shaft so as to be in fluid communication with proximal shaft and having a rigidity lower than that of the proximal shaft, a hub mounted to the vicinity of a rear end of the proximal shaft and configured to allow a pressure applying apparatus to be mounted to the hub, and a balloon provided on a front portion of the distal shaft so as to be in fluid communication with the distal shaft and configured to receive pressure applied from the hub. The catheter also includes a guide wire lumen. In this catheter, at least a front portion of the distal shaft is configured as a grooved portion having a groove or grooves.

A rapid exchange balloon catheter has a short rapid exchange length for faster catheter exchanges the balloon catheter includes a balloon structure having a balloon leg connected to a catheter shaft. Marker bands may be provided in the balloon leg for facilitating measurement of a dimension of physiological features. A stiffening wire extending longitudinally at least partially into the balloon leg may be provided to supplement and control the flexibility characteristics of the balloon leg.