2380results about "Guide needles" patented technology

The invention is a delivery catheter, e.g., a guide catheter, having an imaging element in proximity to the distal end of the catheter. Catheters of the invention are able to placement of the catheter in proximity to an ostium, thereby increasing the efficiency of contrast delivery while reducing the risk of ischemia due to blocked blood supply. The invention additionally assists in maintaining catheter position during delivery of a fluid from the catheter, resulting in better performance with less fluid. For example, a catheter of the invention can be used to produce improved fluoroscopic images with less overall contrast. This improvement reduces the risk of an allergic reaction to the contrast while decreasing the length of time for a procedure, i.e., because of a need to re-contrast.

Rapidly insertable central catheter (“RICC”) assemblies include a RICC and an introducer. The RICC can include a soft catheter tube having an introducing aperture that opens into a primary lumen of the RICC. The introducer can include an introducer catheter including a hard catheter tube having an introducing hole that opens into a single lumen of the introducer catheter. When the RICC assembly is in a ready-to-deploy state, the introducer catheter is disposed in the primary lumen of the RICC such that a distal end of the introducer catheter extends past a distal end of the RICC. An introducer needle of the introducer can be disposed in the introducer catheter through both the introducing aperture and the introducing hole such that a beveled tip of the introducer needle extends past the distal end of the introducer catheter.

A method of inserting a catheter into a vasculature of a patient can include disposing the catheter into a housing. The housing can include a blood flash indicator, having a syringe plunger fixed to the housing and a syringe barrel slidable relative to the syringe plunger. The method can further include positioning the housing adjacent the vasculature, inserting a needle into the housing and through a lumen of the catheter until a distal tip of the needle extends from a distal end of the catheter, and accessing the vasculature via the distal tip of the needle. The method can further include sliding the syringe barrel in a proximal direction relative to the syringe plunger to create a vacuum in a lumen of the needle to thereby draw blood through the lumen of the needle and into the syringe barrel.

An introducer can include an introducer needle and an introducer sheath having a transition therebetween that eases tissue over a distal end of the introducer sheath without catching tissue thereon tissue despite an excised portion of the introducer needle. The introducer needle can include a needle shaft having a longitudinal needle slot extending from a proximal portion of the needle shaft through a distal needle tip, which results in an excised portion of a heel of a bevel of the needle tip. The introducer sheath can include a sheath body and a tapered sheath tip. The sheath body can be over the needle shaft sealing the needle slot thereunder but for a sheath-body opening in a proximal portion of the sheath body for an access guidewire. The introducer can include the transition from the bevel of the needle tip to at least the taper of the sheath tip.

An expandable introducer apparatus comprising an inner tubular layer comprising an inner lumen and a radially expandable region extending along an elongated axis of the inner lumen and configured to at least partially radially expand relative to the elongated axis from a contracted orientation to an expanded orientation. An outer tubular layer comprising an inner surface bonded to the inner tubular layer, wherein a distal segment of the inner tubular layer extends beyond a distal end of the outer tubular layer. A flexible tubular member comprising a bonded region and a flexible region, wherein an inner surface of the bonded region is bonded to an outer surface of the distal segment of the inner tubular layer, and the flexible region is not bonded to the radially expandable region of the inner tubular layer.

There is provided an introducer system for percutaneously delivering a first and a second medical device to a patient. The system may comprise an introducer sheath having a longitudinal axis and a lumen formed therein. The system may also comprise a bifurcated hub coupled to a proximal end of the sheath. The hub may comprise a first arm having a first lumen and a first hemostasis valve for the passage of the first medical device. The hub may also comprise a second arm coupled to the first arm and having a second lumen and a second hemostasis valve for the passage of the second medical device. Further, the hub may comprise a connection port such that the first lumen and the second lumen are in communication with the lumen of the introducer sheath for the passage of at least one of the first and second medical devices through the introducer sheath for delivery to the patient.

The disclosure generally related to improved introducer sheaths for insertion into the body to provide intravascular access to various medical devices, involving an introducer sheath capable of insertion while providing resistance to frictional forces which may otherwise cause the unintentional compression of the outermost layer of the sheath. Embodiments generally comprise an introducer sheath comprising a circumferentially continuous elastomeric outer layer and a support element. Systems for protecting a luminal surface of a blood vessel are described herein. Also provided herein are methods for the use of these systems. Further, these systems include an elongated sleeve having a proximal opening and a circumferentially continuous elastomeric outer tube, the circumferentially continuous elastomeric outer tube has a smooth inner surface with a substantially round cross-section and includes one or more support elements extending longitudinally from the distal opening towards the proximal opening.

A device and method for intravascular treatment of an embolism, and particularly a pulmonary embolism, is disclosed herein. One aspect of the present technology, for example, is directed toward a clot treatment device that includes a support member having a plurality of first clot engagement members and second clot engagement members positioned about the circumference of a distal portion of the support member. In an undeployed state, individual first clot engagement members can be linear and have a first length, and individual second clot engagement members can be linear and have a second length that is less than the first length. The clot engagement members can be configured to penetrate clot material along an arcuate path and hold clot material to the clot treatment device.

An expandable introducer sheath with an interlock dilator. The present technology provides an expandable sheath with a step feature inside its distal opening, and a dilator with an interlock that includes a catch surface configured to engage with the step feature and resist further relative movement so that the body of the dilator is prevented from exiting the distal end of the expandable sheath. This interlocking engagement may allow the dilator to be used to extend and maintain tension on the expandable sheath during insertion into a patient, and then to be retracted from the expandable sheath by pulling the dilator in the opposite direction. The present technology also provides a dilator hub with a spring mechanism configured to achieve and maintain a desired tension on the expandable sheath and to prevent overextension of the expandable sheath when the dilator is being inserted into the expandable sheath.

Rapidly insertable central catheters (“RICCs”), introducers, and insertion devices including combinations and methods thereof are disclosed. For example, a RICC system can include an introducer and a RICC insertion assembly including a RICC assembly disposed in a RICC insertion device. The RICC assembly can include a RICC, an access guidewire, and a splittable casing over a catheter tube of the RICC and the access guidewire forming a longitudinal composite. The RICC insertion device can include a frame and a nose cover forming a split channel that splits away from a through channel of a nose of the frame. The RICC insertion device can be configured for advancing the RICC assembly by rolling the longitudinal composite across roller wheels disposed in the frame. The through channel can be configured for advancing the catheter tube therethrough while the split channel can be configured for both splitting and passing the splittable casing therethrough.

An introducer sheath is described. The introducer sheath may include a tubular body. The tubular body may extend from a distal end toward a proximal end. The tubular body may include a lumen. The lumen may at least partially be defined by a wall. A channel may be disposed within the wall. The channel may be configured to receive a guidewire. The tubular body may include an expandable portion expandable to increase a cross-sectional area of the lumen.

A method of priming an interventional device assembly includes providing the interventional device assembly, the interventional device assembly including a first interventional device and a second interventional device, the second interventional device being positioned within the first interventional device. The method further includes reciprocally moving at least one of the first interventional device and the second interventional device relative to the other of the first interventional device and the second interventional device while flushing a lumen between the first interventional device and the second interventional device with fluid to remove microbubbles from the lumen.

An introducer can include an introducer needle (134) and an introducer sheath (136) having a transition therebetween that eases tissue over a distal end of the introducer sheath without catching tissue thereon tissue despite an excised portion of the introducer needle. The introducer needle can include a needle shaft (140) having a longitudinal needle slot (146) extending from a proximal portion of the needle shaft through a distal needle tip (144), which results in an excised portion of a heel of a bevel (150) of the needle tip. The introducer sheath can include a sheath body (162) and a tapered sheath tip (170). The sheath body can be over the needle shaft sealing the needle slot thereunder but for a sheath-body opening (166) in a proximal portion of the sheath body for an access guidewire.

Various implementations include a sheath system and corresponding expandable introducer. The system includes an elongated introducer body and an elongated core member received within the central lumen of the introducer body. A portion of the introducer body expands in response to the outwardly directed radial force exerted on the central lumen of introducer body by the core member as it moves between the unexpanded and expanded positions.

A blood pump assembly includes an introducer sheath with a proximal end and a distal end, a pump body which extends within the introducer sheath, and a catheter that interfaces with the pump body and extends proximally though the introducer sheath. In a rest state, the introducer sheath forms an oval cross-section sized to encompass the catheter and a medical device. In a constrained state when the pump body is within the introducer sheath, the cross-section of the introducer sheath is circular. The malleability of the introducer sheath allows larger medical devices to be passed through the introducer sheath, while still allowing other devices to be inserted through the introducer sheath after the pump has been guided through. A perimeter of oval cross-section of the introducer sheath is equal to the perimeter of the circular cross-section of the introducer sheath.

A catheter apparatus and a method for using the catheter apparatus to implant a prosthetic aortic valve into a patient. The catheter apparatus includes a handle assembly and a catheter assembly. The catheter assembly has an outer sheath which defines a sheath cavity within which a pusher is positioned, an outer shaft coupled to a slider of the handle assembly and to the sheath cavity, and an inner shaft to which the pusher is attached. A self-expanding prosthetic valve is positioned in the outer sheath and coupled to the pusher. Actuation of the handle causes the slider and the outer sheath to move in a proximal axial direction to expose and deploy the self-expanding prosthetic valve. The self-expanding prosthetic valve may have tabs that are engaged with indents of the pusher such that the tabs are released sequentially during deployment.

Disclosed herein is a catheter, which in some embodiments includes a distal section configured to enter a skin insertion site. The distal section can include a tapered junction having one or more dilation structures configured to dilate the skin insertion site. The distal section can further include a distal portion extending from a distal end of the tapered junction, the distal portion having a diameter smaller than a proximal portion of the catheter. In combination, the tapered junction, the one or more dilation structures, and the specific actions of the user urging the catheter into the insertion site can result in an improved fit of the catheter in the insertion site.

A robotic drive system includes a main body and a telescoping member extendable from the main body. The telescoping member is configured to support an interventional device. The robotic drive system may include a drive system positioned within the main body. The drive system can include a drive screw, and one or more hub adapters operatively coupled to the drive screw and configured to translate along the length of the main body.

A catheter includes an elongated shaft having a lumen communicating from a distal end to a proximal end and having a distal end tip at the distal end, in which the shaft has a tapered portion whose outer diameter gradually decreases in a tapered shape toward the distal end on an outer peripheral surface on a distal end side including at least the distal end tip, the tapered portion has a distal end tapered portion at a distal-most end and an intermediate tapered portion arranged on a proximal end side of the distal end tapered portion and having an inclination angle with respect to an axial center of the shaft smaller than the inclination angle of the distal end tapered portion, and a length of the intermediate tapered portion along the axial center is larger than a minimum inner diameter of the distal end tip.

A guidewire assembly configured to be deployed from an ancillary assembly. The guidewire assembly has a distal puncture tip extending from a deployed distal-shaped section configured to mitigate piercing tip touch back on a biological wall after the elongated guidewire assembly is deployed from the ancillary assembly, and the distal puncture tip crosses a biological wall.

Rapidly insertable central catheters (“RICC”) and methods thereof are disclosed. In an example, a RICC includes a catheter tube, a suture wing disposed over a medial portion of the catheter tube, a hub coupled to a proximal-end portion of the catheter tube, and a number of extension legs extending from the hub. The catheter tube can include a first section in a distal portion of the catheter tube formed of a first polymeric material having a first durometer. The catheter tube can also include a second section proximal of the first section of the catheter tube formed of a second polymeric material having a second durometer less than the first durometer. The catheter tube can have a column strength sufficient to prevent buckling of the catheter tube when inserted into an insertion site and advanced through a vasculature of a patient without use of the Seldinger technique.

The invention provides a thoracic cavity closed drainage puncture outfit and a use method thereof.The outer wall of the bottom end of a drainage tube is evenly provided with a plurality of drainage grooves penetrating through the inner wall, the outer wall of the top end of the drainage tube is fixedly connected with a fixing valve, the top end of the drainage tube is fixedly connected with a three-way valve, and an inner core is arranged in the drainage tube; the inner core comprises a puncture needle head positioned in the bottom end of the drainage tube; the top of the puncture needle head extrudes the drainage fin, so that the middle of the drainage fin protrudes outwards to support peripheral tissues, and after the middle of the drainage fin protrudes outwards, on one hand, a fixing effect can be achieved, on the other hand, the drainage groove can be prevented from being blocked, and the problem of unsmooth drainage is effectively avoided; meanwhile, the puncture needle head completely retracts into the drainage tube, so that secondary injury of the puncture needle head to a patient can be effectively avoided, drainage and puncture operation can be completed at a time, and pain of the patient can be reduced.

A medical device includes a housing having a distal portion with a probe extending therefrom. The housing is graspable by a user to manipulate the housing and the probe. The medical device further includes a pressure sensing system including a pressure sensor and a processing unit coupled with the pressure sensor. The pressure sensor is configured to be carried by the probe. The processing unit is carried by the housing and is configured to receive input signals from the pressure sensor. The medical device further includes an output unit coupled to the processing unit and carried by the housing. The output unit is configured to output a reporting signal to a display. The reporting signal is indicative of a pressure at the pressure sensor.

A sheath delivery system comprises an access device for insertion of one or more wires to extend in first and second directions within a blood vessel. The access device can include an elongated member with a lumen between a distal tip and proximal end, the lumen oriented to exit a patient, a footplate having a bore extending therethrough the footplate and configured to translate within the lumen between an initial state along the lumen and a rotated state anchoring the access device within a blood vessel, a first wire port through which a first wire enters and advances past the footplate into the blood vessel in a first direction, and a second wire port configured to guide a second wire into the lumen so that the second wire passes through the lumen and through the hollow bore of the footplate such that the second wire advances in the second direction.

A vascular access instrument advancement device may include a housing and an extension tube extending through the housing. The extension tube may extend through the housing. The extension tube may include a first lumen and a second lumen. A blood collection pathway may extend through the first lumen. A wedge may be disposed within the housing and the second lumen of the extension tube. A pair of opposing pinch members may be configured to pinch the extension tube. The pair of opposing pinch members may be disposed within the housing proximal to the wedge and configured to move along the extension tube with the housing. An instrument may extend distally from the wedge. The instrument may be disposed within the second lumen. In response to moving the housing distally along the extension tube, the pair of opposing pinch members push the wedge distally and the instrument is advanced distally.

A neurovascular catheter is provided, such as for distal neurovascular access or aspiration. The catheter includes an elongate flexible tubular body, having a proximal end, a distal end and a side wall defining a central lumen. The side wall includes a tubular inner liner, a tie layer separated from the central lumen by the inner liner, a helical coil at least partially overlapping the tie layer, and a tubular braid. A first section of adjacent windings of the helical coil can be spaced farther apart from each other than a second section of adjacent windings of the helical coil.

An improved ureteral sheath, includes: an introducer sheath including a sheath tube and a sheath base arranged at a proximal end of the sheath tube, the sheath base is provided with a tube segment in communication with the sheath tube and a connecting part arranged at a distal end of the tube segment; the sheath tube is provided, from a proximal end to a distal end thereof, with a main body segment and a head segment arranged at a distal end of the main body segment, the main body segment is composed of a hard tube segment, and the head segment is composed of a deformable tube segment; and the tube segment extends outwards relative to a central axis thereof in a communication manner to form a negative pressure connecting tube, a tube wall of the negative pressure connecting tube is provided with vent groove.

The invention relates to the technical field of medical instruments, and discloses a flexible ureteroscope sheath device and a pressure control method thereof.The flexible ureteroscope sheath device is characterized in that one end of a connector tube seat is connected with a sheath tube, the other end of the connector tube seat is provided with three connectors, the first connector is connected with a pressure relief device and a control device, the second connector is used for a flexible ureteroscope and perfusion, and the third connector is used for negative pressure suction; a central channel is arranged in the sheathing canal, and passage type pressure measuring sensors are axially and uniformly arranged around the channel; the control device comprises an adjusting key, a digital display, an indicating lamp and a buzzer, and is electrically connected with the pressure measuring sensor and the pressure relief device; the control device comprises an automatic pressure relief module which is used for collecting analog voltage signals and converting the analog voltage signals into pressure data values, and when a detection value reaches a set threshold value, the electric control pressure relief device automatically relieves pressure. According to the invention, real-time and continuous detection and control of the pressure in the cavity are realized.

The present invention discloses a sheath placement device and a method for using the same. The sheath placement device includes an inner layer member having an operating handle and an insertion portion connected to the operating handle, the insertion portion having an imaging portion; an outer sheath having a drainage port and a distal open end; the insertion portion operatively inserted into the outer sheath and at least partially operatively extended from the distal open end; and a first passageway operatively spaced apart from the outer sheath to form a connection between the drainage port and the distal open end; and a middle layer member operatively inserted between the outer sheath and the insertion portion and at least partially operatively extended from the distal open end; when the middle layer member is withdrawn from between the inner layer member and the outer sheath, a first passageway is formed between the inner layer member and the outer sheath. Compared to existing technologies, this system is easy to use and can simplify surgical procedures while reducing surgical costs, lowering surgical risks, and alleviating patient pain.