132 results about "Guide catheter" patented technology

The invention discloses a thrombus excision system. An embolus is extracted through a mechanical embolus extraction device, a blood vessel is dredged, and revascularization of the blood vessel is achieved. A saccule guide catheter is put at the near end of the embolus part when the embolus is extracted, blood flow is temporarily blocked, and thus a fine crushed embolus generated in the embolus extraction process is prevented from being flushed to the far end of the blood vessel; meanwhile, for a relatively large embolus, a part of thrombus can also be sucked by virtue of the saccule guide catheter, and then the residual thrombus can be extracted by virtue of a thrombus exsector. The thrombus exsector, the saccule guide catheter and a delivery microcatheter are arranged on the thrombus excision system disclosed by the invention, wherein the thrombus exsector is used as a main component, an excision spring is arranged, and the release state of the excision spring is a conical spiral state. Compared with the prior art, the thrombus excision system has the advantages that the thrombus exsector is very soft, the minimal through size is 0.014' (0.36mm), the thrombus exsector can easily enter a cerebral vessel, a near-end protection technology is adopted in the operation process, and thrombus suction is combined with mechanical embolus extraction, so that the success rate of the operation is improved, and the complications are reduced.

Embodiments described herein relate to an implant delivery system for delivering an implant for reducing heart valve regurgitation. The implant delivery system may include an implant catheter disposed in an inner lumen of a guide catheter. The implant catheter may include one or more hypotubes disposed therein, each hypotube configured to receive an elongate member such as a braided tether. A distal end of the implant catheter may be coupled to an implant holder configured to receive the implant. The implant holder may define one or more channels, each channel configured to receive a portion of a respective elongate member. The elongate members configured to couple the implant to the implant holder and transition the implant between configurations. The implant configured to be disposed around a portion of a leaflet of a heart valve to improve coaptation of the heart valve.

Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, engaging an interventional device of a catheter system with clot material in a blood vessel and withdrawing the interventional device and the portion of the clot material through a guide catheter. In some embodiments, the catheter system can include an attachment / valve member coupled to a proximal portion of the guide catheter, and the method can include unsealing the attachment / valve member to facilitate withdrawing the interventional device through the attachment / valve member without significant retention of clot material within the attachment / valve member. The method can further include resealing and aspirating the guide catheter before advancing another interventional device to the clot material to again engage and remove clot material from the blood vessel.

Embodiments described herein relate to an implant delivery system for delivering an implant for reducing heart valve regurgitation. The implant delivery system may include an implant catheter disposed in an inner lumen of a guide catheter. The implant catheter may include one or more hypotubes disposed therein, each hypotube configured to receive an elongate member such as a braided tether. A distal end of the implant catheter may be coupled to an implant holder configured to receive the implant. The implant holder may define one or more channels, each channel configured to receive a portion of a respective elongate member. The elongate members configured to couple the implant to the implant holder and transition the implant between configurations. The implant configured to be disposed around a portion of a leaflet of a heart valve to improve coaptation of the heart valve.

A drive system for achieving supra-aortic access and neurovascular treatment site access includes a guidewire hub configured to adjust an axial position and a rotational position of a guidewire, a procedure catheter hub configured to adjust an axial position and a rotational position of a procedure catheter, a guide catheter hub configured to adjust an axial position of a guide catheter, and an access catheter hub configured to adjust an axial position and a rotational position of an access catheter, the access catheter further configured to laterally deflect a distal deflection zone of the access catheter.

Devices and methods for providing a pathway for fluid to flow around a main lumen of a guide catheter are disclosed. As one example, a delivery apparatus can include a handle including an outer housing and a flush port coupled to the outer housing, a shaft extending distally from the handle, and a main lumen extending axially through the shaft, where the main lumen is fluidly coupled to the flush port via a flush lumen extending between the flush port and the main lumen. The delivery apparatus can further include at least one axially extending channel fluidly coupled to and radially offset from the main lumen, the channel extending between a first location that is adjacent to the flush lumen and a second location that is adjacent to a distal end of the shaft.

Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, engaging an interventional device of a catheter system with clot material in a blood vessel and withdrawing the interventional device and the portion of the clot material through a guide catheter. In some embodiments, the catheter system can include an attachment / valve member coupled to a proximal portion of the guide catheter, and the method can include unsealing the attachment / valve member to facilitate withdrawing the interventional device through the attachment / valve member without significant retention of clot material within the attachment / valve member. The method can further include resealing and aspirating the guide catheter before advancing another interventional device to the clot material to again engage and remove clot material from the blood vessel.

A supra-aortic vessel access robotic control system includes a guidewire hub configured to adjust each of an axial position and a rotational position of a guidewire; a guide catheter hub configured to adjust a guide catheter in an axial direction; and a procedure catheter hub configured to adjust each of an axial position and a rotational position of a procedure catheter, and also to laterally deflect a distal deflection zone of the procedure catheter.

A system for cutting leaflet tissue at a cardiac valve may comprise a guide catheter having a proximal end and a distal end, wherein the distal end of the guide catheter is steerable to a position above a cardiac valve. The system may also include a handle coupled to the proximal end of the guide catheter, the handle comprising at least one control configured to steer the guide catheter to the position above the cardiac valve. Finally, the system may comprise a cutting mechanism routable through the guide catheter and able to be positioned at the distal end of the guide catheter, the cutting mechanism configured to cut a portion of leaflet tissue of the cardiac valve.

The invention discloses a bending-adjustable alcohol ablation guiding catheter system, and belongs to the technical field of interventional medical instruments. The device comprises a guiding catheter, one end of the guiding catheter is connected with a handle, the axial hollow position of the guiding catheter serves as a first channel, the handle is provided with a catheter channel communicated with the first channel, the other end of the guiding catheter is provided with a first bending adjusting section, and the handle is provided with a first bending adjusting mechanism for controlling the first bending adjusting section. The guiding catheter is provided with a second bending adjusting section, the second bending adjusting section is adjacent to the first bending adjusting section, and the handle is provided with a second bending adjusting mechanism for controlling the second bending adjusting section. The guiding catheter can enter the coronary sinus orifice quickly and accurately, the guide wire can be controlled to enter the Marshall vein, and the guiding catheter has the advantages of being simple in structure, reasonable in design and easy to manufacture.

Devices and methods for equalizing pressure in a main lumen of a guide sheath shaft are disclosed. As one example, a delivery apparatus can include a handle and a shaft extending within and distally from the handle. The shaft has a main lumen, and a distal end portion of the shaft includes one or more holes that extend through a wall of the shaft, between the main lumen and an exterior of the shaft. The one or more holes are spaced axially away from a distal end of the shaft.

A method of performing a neurovascular procedure includes providing an assembly including a guidewire having a guidewire hub, an access catheter having an access catheter hub, and a guide catheter having a guide catheter hub. The method includes coupling the guidewire hub to a first hub adapter, coupling the access catheter hub to a second hub adapter, and coupling the guide catheter hub to a third hub adapter. Each of the first hub adapter, the second hub adapter and the third hub adapter is movably carried by a support table. The method includes driving the assembly in response to movement of each of the first hub adapter, the second hub adapter and the third hub adapter along the support table until the assembly is positioned to achieve supra-aortic vessel access.

The invention relates to a nerve repair guide catheter, a preparation method and application, an electrostatic spinning technology is adopted to construct a nanofiber membrane which is directionally and orderly arranged so as to guide nerve axons to directionally grow, and cell energy metabolism is promoted and tissue repair and regeneration are accelerated through metabolism and conversion of degradation products. Therefore, the nerve injury repairing effect better than that of traditional matrix materials without biological activity, such as PCL, is achieved. According to the invention, a novel solution is provided for solving the problem of insufficient biological activity of a traditional nerve conduit material by constructing a degradable high polymer material with biological activity. Therefore, the regeneration efficiency of peripheral nerve injury repair is improved, and the application prospect of the bioactive material in the fields of tissue engineering and regenerative medicine is expanded.

Percutaneous devices and methods for releasably engaging a guidewire against an inner surface of a tubular member are disclosed. A percutaneous device can include a tube member, a push member, and a fixation mechanism such as a fixation balloon. The tube member can define a lumen sized and shaped to receive one or more interventional medical devices therethrough and can have an outer diameter smaller than a lumen of a guide catheter. The push member can extend proximal of the tube member for slidably positioning a distal end portion of the tube member within and beyond a distal end of the guide catheter. The push member can include a lumen in fluid communication with an interior of the fixation balloon, for example, for delivering inflation fluid to, or removing fluid from, the balloon. The fixation balloon can be positioned can be positioned and configured to engage a guidewire against the inner surface of the guide catheter or of the tube member when inflated.

Embodiments described herein relate to an implant delivery system for delivering an implant for reducing heart valve regurgitation. The implant delivery system may include an implant catheter disposed in an inner lumen of a guide catheter. The implant catheter may include one or more hypotubes disposed therein, each hypotube configured to receive an elongate member such as a braided tether. A distal end of the implant catheter may be coupled to an implant holder configured to receive the implant. The implant holder may define one or more channels, each channel configured to receive a portion of a respective elongate member. The elongate members configured to couple the implant to the implant holder and transition the implant between configurations. The implant configured to be disposed around a portion of a leaflet of a heart valve to improve coaptation of the heart valve.

Apparatuses and methods for quickly and accurately positioning a stent within the ostium of a blood vessel so that the entire circumference of the proximal stent edge is within the aorto-ostial landing zone (AOLZ). Any of these methods and apparatuses may include an ostial positioning catheter including an annular sealing balloon, a distal reinforced shaft, and a hypotube extending proximally from a longitudinal side of the distal reinforced shaft. These ostial positioning catheters may be independently operated with a guide catheter and a stent deployment catheter.

A method of performing a neurovascular procedure includes the steps of providing an access assembly comprising a guidewire, access catheter and guide catheter; coupling the access assembly to a robotic drive system; and driving the access assembly to achieve supra-aortic vessel access. The guide wire and the access catheter are decoupled from the access assembly. A procedure assembly includes at least a guidewire and a procedure catheter. The procedure assembly is coupled to the robotic drive system; and used to perform a neurovascular procedure.

The utility model discloses a preselected branch artery type embedded branch type aorta covered stent system. The preselected branch artery type embedded branch type aorta covered stent system comprises an aorta covered stent and a conveying structure. The aorta covered stent comprises a main body stent and three embedded branch stents, three windows are arranged on the main body support, one ends of the three embedded branch supports are connected to the windows in an embedded mode, and the other ends of the embedded branch supports are all connected with guide catheters. The conveying structure comprises a sheath tube, a sheath core, a Tip head and three guide catheters; the embedded branch stent is detachably connected with the guide catheter; the far end of the sheath core is connected with the Tip head, the sheath core is sleeved with the main body support, and the main body support, the sheath core and the three guide catheters are sleeved with the sheath tube; a groove is formed in one end, close to the Tip head, of the sheathing canal; and the windows on the main body bracket are arranged at the positions corresponding to the grooves of the sheathing canal. The problem that it is very difficult to guide a branch guide wire to reach a branch blood vessel through a windowing structure is solved.

A stent delivery device that can be inserted into an endoscope. The device includes a guide catheter including a guide tube, an operating wire, and a joint portion that joins the guide tube and the wire. The device also includes a pusher catheter including a first tube through which the wire is inserted and a second tube through which the guide tube is inserted. The device may include a bite prevention portion that can prevent the wire from biting into an inner surface of the second tube. In a state where a distal end of the pusher catheter protrudes from the endoscope channel and the channel includes a curved portion in a curved state, a proximal end of the guide tube, which includes the joint portion, and / or the bite prevention portion can be positioned proximal of a proximal end of the curved portion in the endoscope channel.

A system for delivering a fluid to a target site of a patient's vasculature has a catheter having a proximal end, a distal end, and a lumen defined by an inner surface of the catheter, the lumen extending longitudinally through the catheter between the proximal and distal ends, a guide element having a distal end, a proximal end, and an outer surface, the guide element having a distal end, a proximal end, and a distal end. The guide element is located in the lumen, creating a region between the outer surface of the guide element and the inner surface of the catheter, the region having an effective cross-sectional region dimensioned to be in fluid communication when the guide element is in the lumen. Further, a method of performing a neurovascular procedure includes providing a multi-catheter assembly including an access catheter, a guide catheter, and a procedure catheter, connecting the assembly to a robotic drive system, and injecting a contrast agent into the assembly without removing a guide element.

Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, engaging an interventional device of a catheter system with clot material in a blood vessel and withdrawing the interventional device and the portion of the clot material through a guide catheter. In some embodiments, the catheter system can include an attachment / valve member coupled to a proximal portion of the guide catheter, and the method can include unsealing the attachment / valve member to facilitate withdrawing the interventional device through the attachment / valve member without significant retention of clot material within the attachment / valve member. The method can further include resealing and aspirating the guide catheter before advancing another interventional device to the clot material to again engage and remove clot material from the blood vessel.

A suction catheter system is described with a suction nozzle that can extend from a guide catheter of the like. The suction nozzle can be positioned by tracking the suction nozzle through a vessel while moving a proximal portion of the suction extension within the lumen of the guide catheter. A suction lumen extends from the proximal end of the guide catheter through at least part of the guide catheter central lumen and through the suction tip. Desirable suction flow can be established using the guide lumen to facilitate the suction. Also, a delivery catheter is described with an elastic tip that can track closely over a guidewire. The elastic tip of the delivery catheter can be expanded to provide for the delivery of medical devices past the tip.

The invention is entitled "Systems for assisting delivery of mechanical endovascular therapeutic devices." The invention discloses a system for assisting delivery of mechanical endovascular therapeutic devices, wherein the system includes a first auxiliary device having a first linear sliding mechanism. The linear sliding mechanism includes a first non-slidable segment, a first slidable segment that is linearly displaceable relative to the first non-slidable segment, and a first tensioning device connected to the first slidable segment for movement therewith; the first tensioning device is convertible between an unsecured state and a secured state. A first securing hub is fixedly attached to the first non-slidable segment, wherein the first securing hub is convertible between an unsecured state and a secured state. The system can also include a second auxiliary device. The auxiliary devices provide enhanced control over movement of a delivery wire and / or a guide catheter.

The invention discloses a guide extension catheter with a balloon structure, and relates to the technical field of medical instruments, the guide extension catheter comprises a guide tube, an extension tube is slidably connected in the guide tube in a penetrating manner, a through hole is formed in the extension tube, and the guide extension catheter further comprises a self-adaptive expansion mechanism and a synchronous inflation mechanism; the self-adaptive expansion mechanism comprises a balloon body, an inflation tube, an inflator pump, a threaded air pushing rod and a handle, the balloon body is fixedly connected to the position, close to the through hole, of the outer surface of the extension tube, a PET woven layer is arranged at the center of the inner wall of the balloon body, and silicone rubber woven layers are arranged on the two sides of the inner wall of the balloon body. According to the balloon, the balloon body is expanded from the two sides firstly, then the balloon body is gradually and stably expanded towards the center along with continuous injection of gas, expansion force can be distributed more evenly, pressure borne by the vascular wall on all the portions is more balanced, the risk that local pressure is too large is reduced, and the possibility that the vascular wall is damaged is reduced.

A guide catheter that is adapted to accommodate a left atrial appendage closure (LAAC) device being advanced towards a left atrial appendage (LAA) includes an elongate shaft extending from a proximal region to a distal region and a guide catheter hub that is coupled to the proximal region of the elongate shaft. The guide catheter hub includes a hub body, a Tuohy seal disposed relative to the hub body, a flat seal disposed relative to the hub body, and a mechanism disposed relative to the hub body that is adapted to releasably open the flat seal.

To provide a suction catheter system with a suction extension part.SOLUTION: A suction extension part is interfaced with a guide catheter to form a continuous suction lumen extending through a portion of the guide catheter and through the suction extension part. The suction extension part can be positioned by tracking the suction nozzle through a vessel while moving a proximal portion of the suction extension part within a lumen of the guide catheter. The suction extension part can include a connecting section 400 with a non-circular cross section for interfacing with the inner lumen of an engagement section of the guide catheter. A tubular body of the guide catheter can have a reduced diameter distal section that can be useful to restrain the movement of the suction extension part. Proximal fittings attached to the guide catheter can facilitate safe removal of the catheter system from the patient by allowing for the removal of some or all of an annular extension part of the suction extension part from the guide catheter behind a hemostatic seal.SELECTED DRAWING: Figure 21

A method of delivering a transcutaneous dual valve replacement (TDVR) device to a patient includes the steps of advancing a guide catheter into the heart of the patient, advancing a support wire through the guide catheter and across the mitral valve of the heart of the patient, removing the guide catheter, advancing a delivery sheath over the support wire and across both the aortic valve and the mitral valve of the heart of the patient, advancing the TDVR device over the support wire and through the delivery sheath, removing the delivery sheath, expanding a first segment of the TDVR device in the mitral valve and a second segment of the TDVR device in the aortic valve, and removing the support wire.

The present invention is entitled "Thrombectomy and Stent Implantation System". The present invention provides a design capable of both mechanical thrombectomy and stent implantation for the treatment of occlusions in the cerebral vasculature, which provides a three-catheter setup. A first outer catheter has the largest diameter and can serve as a guide catheter, while also serving as a sheath for the other catheters. A second deployment catheter can be configured for aspiration of the occlusion and can include a proximal stepped or recessed segment at the distal tip that can act as a housing for a woven expandable stent. The outer diameter of the stepped segment can be lined with an inflation device having a woven stent disposed on its top. Inside the second deployment catheter is a microcatheter that can deliver a mechanical thrombectomy device to the target site to retrieve the occlusion in the vessel, after which the stent can be expanded and implanted in the vessel.

A guide extension catheter (300) positionable within a guide catheter (302) and configured to receive an interventional device for insertion into the vasculature. The guide extension conduit includes a pushing member (322), a first reinforcing member (306) in contact with the pushing member, and a radially collapsible tubular membrane (310) in contact with the pushing member and the first reinforcing member. A tubular membrane is positioned distal to the first reinforcing member and radially collapses or wraps around the pushing member prior to receiving the interventional device. The urging member provides sufficient columnar strength to prevent longitudinal collapse of the tubular membrane during use. The guide extension catheter may access a target lesion in the vasculature and optionally provide a lower friction, larger diameter pathway (for a given compatible guide catheter size) through the target lesion in the vasculature, thereby reducing microscopic and macroscopic vasculature damage caused by delivery of the interventional device.