4905 results about "Guide wires" patented technology

A delivery device for delivering an instrument through an intravenous catheter may include a housing, a rotary element disposed within the housing, and an instrument. In some embodiments, the rotary element may include a groove, which may extend around at least a portion of the circumference of the rotary element. In some embodiments, the instrument may be disposed within the groove and / or between the rotary element and the housing. In some embodiments, in response to rotation of the rotary element with respect to the housing, the instrument may be advanced distally through an outlet of the housing. In some embodiments, the instrument may include a guidewire, a probe, blood draw tubing, or a light tube.

The present disclosure is directed to intravascular devices, systems, and methods having a core member coupled to a shaping ribbon with an adhesive. In some aspects, a sensing guide wire is provided. The sensing guide wire can include a flexible elongate member; and a sensing element coupled to a distal portion of the flexible elongate member, wherein the distal portion of the flexible elongate member includes: a core member; and a shaping ribbon fixedly secured to the core member by an adhesive and at least one connecting sleeve. In other aspects, methods of forming a sensing guide wire are provided.

An apparatus includes a first catheter defining a first longitudinal axis and a first lumen. A first actuator can be coupled to the first catheter and configured to rotate about the first longitudinal axis to deflect a distal end of the first catheter relative to the first longitudinal axis. A second catheter can define a second longitudinal axis and a second lumen. At least a portion of the second catheter can be configured to slide within the first lumen. A magnetic member can be coupled to a distal end of the second catheter. The magnetic member can define a third lumen. The third lumen can be in fluid communication with the second lumen. A second actuator can be coupled to the second catheter and configured to move linearly along the second longitudinal axis so as to vary a spacing between the magnetic member and the first catheter.

To provide a device assembly and a method for treating heart failure by normalizing an elevated blood pressure in the left atrium of the heart of a mammal.SOLUTION: Disclosed herein is a transcatheter interatrial septum excision device assembly configured to create a sized interatrial aperture between right and left atria of a heart for relief of an elevated left atrial pressure. The device assembly comprises a delivery catheter, a tissue stabilizer attached to a first catheter having a central lumen and a penetrating tip that permits passage of a guidewire, and a cutter attached to a second catheter having a central lumen that permits passage of the first catheter. Alternative configurations comprise a (third) catheter having a central lumen that permits passage of the components to and from the right atrium, a tissue retention mechanism, and an optional coaxial alignment mechanism.SELECTED DRAWING: Figure 1

A method for manufacturing a catheter (102) including a rapid exchange port (157). The method can include the steps of generating a port (258) in a catheter shaft (210), inserting a guidewire lumen (118) into the port (258), pulling the guidewire lumen (118) in a proximal direction, and pushing the guidewire lumen (118) in a distal direction so that the guidewire lumen (118) is within the catheter shaft (210). The method can also include the steps of thermally bonding the guidewire lumen (118) within the catheter shaft (210), trimming the guidewire lumen (118) so that a guidewire lumen (118) proximal end is flush with a catheter shaft (210) exterior.

A side-deliverable prosthetic valve includes an outer frame, a flow control component mounted within the outer frame, and an anchoring element coupled to a distal side of the outer frame. The prosthetic valve is foldable along a longitudinal axis and compressible along a central axis to a compressed configuration for side delivery via a delivery catheter and is expandable to an expanded configuration when released from the delivery catheter. An end portion of the anchoring element is configured to engage a guide wire. The anchoring element is extended during deployment to allow the anchoring element to capture at least one of native leaflet or chordae and, in response to the guide wire being disengaged from the end portion, transitions to a folded configuration to secure at least one of the native leaflet or the chordae between the anchoring element and the distal side of the outer frame.

A system for delivering a fluid to a target site of a patient's vasculature having a catheter having a proximal end, a distal end, and a lumen defined by an interior surface of the catheter extending longitudinally through the catheter between the proximal end and the distal end, a guiding element having a distal end, a proximal end, and an exterior surface, the guiding element positioned in the lumen creating an area, between the exterior surface of the guiding element and the interior surface of the catheter, having an effective cross-sectional area sized fluid communication while the guiding element is in the lumen. Also, a method of performing a neurovascular procedure includes providing a multi-catheter assembly including an access catheter, a guide catheter, and a procedure catheter, coupling the assembly to a robotic drive system, and injecting contrast media into the assembly without removing a guiding element.

A method for positioning a guidewire may include disposing an inner shaft at least partially within a catheter lumen of a catheter such that the inner shaft is positioned at a proximal limit of longitudinal movement of the inner shaft relative to the catheter; advancing the guidewire into the shaft lumen of the inner shaft until the guidewire is located at a predetermined longitudinally offset distance from the catheter; locking the advanced guidewire relative to the inner shaft when the inner shaft is at the proximal limit; and positioning the guidewire at least partially by advancing the inner shaft.

The invention provides a robot control method and system based on a visual image, and belongs to the technical field of visual images, and the method comprises the steps: determining a guide wire moving path based on a first contrast image; and determining control data of the interventional robot based on the guide wire moving path and the robot interventional control relation model. Guide wire information is determined based on the second contrast image, and a first resistance is determined based on the guide wire information. A target resistance is determined based on the first resistance and the second resistance. The second resistance is data acquired by a force sensor arranged at the joint of the guide wire and the interventional robot. And comparing the target resistance with a resistance threshold to obtain a first comparison result, and updating control data of the interventional robot based on the first comparison result and the guide wire information to obtain target control data. And controlling the interventional robot based on the target control data. The control accuracy of the interventional robot can be improved.

Intravascular imaging devices as well as methods for making and using intravascular imaging devices are disclosed. An intravascular imaging device may include a catheter shaft including a hypotube region, an imaging window region, and a distal end region having a guidewire lumen formed therein. The hypotube region may include a slotted section having a plurality of slots formed therein. The slotted section may include a plurality of discrete zones including a first zone, a second zone disposed proximal of the first zone, a third zone disposed proximal of the second zone, a fourth zone disposed proximal of the third zone, and a fifth zone disposed proximal of the fourth zone. The first zone may have a constant flexural rigidity. One or more of the second zone, the third zone, and the fifth zone may have a flexural rigidity that varies along a length thereof. An imaging core may be within the catheter shaft.

The application relates to the field of medical devices, in particular to a repair system capable of accurate positioning, which comprises a delivery catheter, a positioning support arranged in the delivery catheter, an anchoring mechanism, a flexible sleeve and a guide wire, the positioning support is arranged at the distal end of the delivery catheter, the positioning support is provided with a plurality of anchoring points distributed in the circumferential direction, the flexible sleeve is provided with a plurality of connecting points arranged in correspondence with the anchoring points, the guide wire passes through the connecting points and the anchoring points corresponding to the connecting points in sequence, and after the positioning support is released, the anchoring mechanism pushes the flexible sleeve, so that the flexible sleeve cooperates with the guide wire and guides the anchoring mechanism to reach each anchoring point along a predetermined route and complete anchoring; the application not only simplifies the structure of the device, but also realizes accurate guidance.

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.

A modular endoscope system comprises an imaging guidewire comprising an elongate shaft extending from a proximal end to a distal end, an imaging device located proximate the distal end of the elongate shaft and a lighting element located proximate the distal end of the elongate shaft, and an intervention accessory configured to slide along the elongate shaft to provide a medical intervention. A method of providing a medical intervention to an internal anatomic location comprises inserting an imaging guidewire into an anatomic passageway, viewing target anatomy with imaging capabilities of the imaging guidewire, pushing an intervention accessory along the imaging guidewire to the target anatomy, and operating the intervention accessory to provide an intervention on the target anatomy.

A guidewire for backloading and inserting a percutaneous pump affixed to a cannula includes a proximal section made of a first material, with a first diameter, a rounded proximal end, and a distal end. The guidewire also includes a distal section made of a second material, with a second diameter which is greater than the first diameter, a distal end, and a proximal end abutting the distal end of the proximal section. The first material of the proximal section is selected to be softer than a material of the percutaneous pump to reduce damage to the pump during backloading. The distal section of the guidewire is configured to be stiffer than the proximal section to insert the percutaneous pump in a desired location without damaging the guidewire.

The utility model discloses a transcatheter intracardiac space occupying resection device which comprises a sheathing canal, a catheter and a guide wire. The occupied space storage mechanism is arranged in the sheath tube and is used for fixing and temporarily storing occupied spaces under the guidance of the sheath tube; and the occupying capturing and cutting mechanism is arranged in the sheath tube, connected with the occupying storage mechanism and used for capturing and cutting occupying. By puncturing the blood vessel, conveying the working guide wire and the working sheathing canal, releasing the capturing system and fixing and cutting the space-occupying lesion in the heart cavity by virtue of the negative pressure system, the minimally invasive and accurate excision of the space-occupying lesion is realized, the operation is simple and convenient, and the risk of tumor dissemination during the space-occupying excision is reduced.

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.

The invention provides a radiofrequency ablation catheter and a radiofrequency ablation system. The radiofrequency ablation catheter comprises a balloon, an inner tube, a guide wire tube, an outer sleeve and a radiofrequency electrode, the near end of the balloon is provided with a near-side tube section extending along the longitudinal axis of the balloon; the inner tube is provided with an inflation cavity and a guide wire tube penetrating cavity which are not communicated with each other, the far end of the inner tube is inserted into the near-side tube section, the inner tube is in sealed connection with the near-side tube section, and the far end of the inflation cavity is communicated with an inner cavity of the balloon; the far section part of the guide wire tube extends out of the far end of the guide wire tube penetrating cavity and extends to an inner cavity of the balloon, and the guide wire tube is in sealed connection with the guide wire tube penetrating cavity; the outer sleeve is arranged outside the inner tube in a sleeving mode, the far end of the outer sleeve is connected with the near-side tube section, a gap is formed in the joint, and a threading cavity between the outer sleeve and the inner tube is used for containing a cable; the radio frequency electrode is provided with a far-side ablation area and a near-side wiring area connected with the cable, extends to the gap from the near-side wiring area to the far-side ablation area along the threading cavity, penetrates out of the gap and then is attached to the surface of the near-side pipe section to extend to the outer surface of the balloon.

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.

Intravascular imaging devices as well as methods for making and using intravascular imaging devices are disclosed. An intravascular imaging device may include a catheter shaft including a proximal region, an imaging window region, and a distal end region having a guidewire lumen formed therein. The catheter shaft may include a telescoping assembly having a telescope hub configured to be secured to a pullback assembly. The telescope hub may include a proximal flange, a loading region disposed distal of the proximal flange, and a grip region disposed distal of the loading region. The grip region may have a non-circular cross-sectional shape. An imaging core may be disposed within the catheter shaft.

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 guidewire device includes an elongate core wire and a tube member over the distal section of the elongate core wire. The tube member comprises a plurality of transverse cuts at a plurality of axial locations of the tube member, forming a plurality of circumferentially extending rings joined by a plurality of beams. The plurality of transverse cuts comprises a tapered geometry with a cut width at the outer surface of the tube member being greater than a cut width at the inner surface of the tube member.

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.

The invention relates to an atrial septum puncture system, and belongs to the technical field of medical instruments. The atrial septum puncture system comprises a conveying sheath assembly, a dilator assembly and a puncture guide wire. The dilator assembly comprises a dilator, a puncture needle and a control handle. The conveying sheath assembly, the dilator assembly and the puncture guide wire are combined into the atrial septum puncture system, puncture operation is more convenient and safer, and the puncture guide wire and a puncture needle do not need to be frequently exchanged in the puncture operation process; according to the dilator assembly, the control handle comprises the moving part and the limiting part, the moving part is fixedly connected with the near end of the puncture needle, the moving part is used for driving the puncture needle to move in the axial direction of the moving part, and a user can control the puncture needle conveniently; the limiting step is arranged on the outer wall of the moving part, and the axial distance between the near end of the limiting part and the limiting step is 0.5-10 mm, so that the distance of a puncture needle extending out of the dilator can be limited, and the safety of puncture operation can be guaranteed.

The invention discloses a shock wave forming device with a valve blood perfusion function, which relates to the technical field of medical instruments and comprises a catheter sheath, a shock wave forming balloon group, a shock wave generating component, a handle and a magnetic flexible net opening and closing structure. A guide wire is slidably arranged in the catheter sheath; the shock wave forming balloon set comprises a plurality of shock wave balloons, one ends of the shock wave balloons are connected with the end of the guide wire through flexible net-shaped structures, and the other ends of the shock wave balloons are connected with the end of the catheter sheath through flexible rod-shaped structures. The shock wave generating assembly comprises an axial shock wave generating electrode pair and a circumferential shock wave generating electrode pair; and the magnetic type flexible net opening and closing structure is arranged between the guide wire end part and the flexible net-shaped structure. The blood vessel can be mechanically supported or loosened; through the axial shock wave generation electrode pair and the circumferential shock wave generation electrode pair, the blocking plaque can be opened in the forward direction, and shock waves can be emitted in the circumferential direction to crack or crush calcium deposits; in addition, broken calcified plaques or aortic plaques, thrombus and the like can be captured.

The invention discloses a transformer with a leading-out mechanism, and relates to the technical field of transformers. The transformer comprises a transformer body, a plurality of high-voltage wire outlet ends are fixed to one side of the top of the transformer body, a plurality of low-voltage wire outlet ends are fixed to the other side of the top of the transformer body, a protective shell is fixed to the top of the transformer body, and a plurality of vertical plates are fixed to the top of the transformer body; and an opening for accommodating the vertical plate is formed in one side of the protective shell. Through the arrangement of the anti-dragging device, the screw rod, the arc clamping plate and the limiting rod are matched to drive the arc clamping plate to clamp and fix the guide wire, so that the guide wire can be firmly fixed at a specified position, and the situation that the guide wire is loosened or falls off due to external force (such as collision or dragging of a worker during operation) is reduced; therefore, the stability of electrical connection can be ensured, and the problem of electrical failure or poor contact is avoided.

The invention discloses a wire feeder and handheld welding equipment. The wire feeding machine comprises a wire guide mechanism, and the wire guide mechanism comprises a first wire guide wheel; a wire feeding channel for guiding a welding wire is formed between the second wire guide wheel and the first wire guide wheel; the adjusting assembly comprises a first force arm, one end of the first force arm is hinged to the first fulcrum, the other end of the first force arm is flexibly supported on the second fulcrum, and the second godet wheel is rotationally connected to the first force arm; and the distance between the second wire guide wheel and the first wire guide wheel can be dynamically adjusted along with the change of the diameter of the welding wire passing through the wire feeding channel under the assistance of the first force arm. By means of the mode, the wire feeder can adjust the width of the wire feeding channel in a self-adaptive mode, effectively adapts to changes of the diameter of a welding wire in the wire feeding process, guarantees stable conveying of the welding wire, and avoids the phenomenon of wire clamping or unsmooth wire feeding.

The invention discloses a binocular X-ray guide wire three-dimensional positioning method, a binocular X-ray guide wire three-dimensional positioning device and binocular X-ray guide wire three-dimensional positioning equipment based on epipolar geometry and a storage medium. The method comprises the steps that two to-be-processed images collected by two X-ray scanning devices in the biplane digital subtraction angiography system for a target object in a guide wire intervention state are acquired, and the to-be-processed images comprise intervention guide wires; conducting guide wire positioning on the two to-be-processed images based on projection matrixes which are obtained through pre-calibration and respectively correspond to the two X-ray scanning devices, and determining path information of the interventional guide wire, the path information comprising first position information of the interventional guide wire; obtaining an expected path of the interventional guide wire, and determining an offset error of the interventional guide wire based on expected position information of the interventional guide wire in the expected path and the first position information; the expected path of the intervention guide wire is updated based on the offset error, accurate positioning of the intervention guide wire and updating of the expected path are achieved, and accurate data support is provided for subsequent treatment.

The utility model discloses a micro guide wire, which relates to the technical field of instruments for interventional diagnosis and treatment and comprises a far-end component and a near-end component. The far-end component is arranged at the far end of the near-end component; the far-end part comprises an outer-layer spring, an inner-layer twisted wire and a developing wire; the developing wire and the inner-layer twisted wire are sequentially wound around the far end of the near-end component, and the developing wire is located on the side, close to the far end of the near-end component, of the inner-layer twisted wire. One end of the developing wire is connected with the far end of the near-end component, and the other end of the developing wire is connected with one end of the inner-layer twisted wire and the near-end component; the other end of the inner-layer twisted wire is connected with the near-end component; and one end of the outer-layer spring is connected with the far-end end part of the near-end part, and the other end of the outer-layer spring is connected with the outer wall of the near-end part. The far end is wound by a double-layer spring, the flexibility and the plasticity are both considered, the twisting control performance of the micro guide wire is guaranteed, the passing ability of the micro guide wire in a tortuous blood vessel is improved, the near end is made of stainless steel, and it is guaranteed that the whole micro guide wire has good supporting force and pushing performance.

The invention discloses a perfusion laser balloon catheter and a balloon catheter system, the perfusion laser balloon catheter is provided with a far end and a near end which are opposite to each other, and the perfusion laser balloon catheter comprises a guide wire and a balloon catheter, the inner tube is fixedly arranged on the periphery of the guide wire in a sleeving mode, the far end of the inner tube is blocked by the blocking piece, the inner tube is provided with a medicine channel, and a first outlet communicated with the medicine channel is formed in the far end of the inner tube; the optical fiber extends along the inner tube, and the far-end part of the inner tube is provided with a light-emitting section; the balloon body is located on the periphery of the inner tube, and the far end of the balloon body is connected with the outer wall of the inner tube in a sealed mode; the first outer tube is located on the periphery of the inner tube and communicated with the near-end side of the balloon body, and a radial gap between the first outer tube and the inner tube serves as a fluid channel for inflating the balloon body. According to the perfusion laser balloon catheter, medicine can be better released, the uniformity of light emission is guaranteed, and therefore the treatment effect on vascular diseases is improved.