Abstract:
Apparatus and method are provided for treatment of a bifurcation of a body lumen. The apparatus includes an elongated catheter body having a proximal end and a distal end. A balloon is associated with the distal end of the balloon catheter. The balloon includes a main vessel balloon for treating a main vessel of the bifurcation, and a branch vessel balloon for treating a branch vessel of the bifurcation. The branch vessel balloon includes an accordion configuration capable of being expanded from an unexpanded collapsed accordion configuration to an expanded accordion configuration extending into the branch vessel.
Abstract:
Systems and methods for treating a vessel include devices having a main elongated element with a balloon at its distal end, an auxiliary elongated element wherein a distal end of the auxiliary elongated element is proximal to the balloon, and a core wire having a internal core wire portion and an external core wire portion, wherein the external core wire portion is external to the balloon. In some embodiments, a distal connecting element is attached to the distal end of the balloon. In some embodiments, the distal connecting element is positioned at a rotational distance from the auxiliary elongated element. In some embodiments, the balloon is a fixed wire balloon. Inflation of the balloon causes guidewires positioned within the device and external core wires to be pushed up against the lesion, providing a focused force for cracking the lesion.
Abstract:
A delivery system and method are provided for accurately locating, orienting, and implanting expandable tissue supporting devices at a lumen junction or bifurcation in a body lumen. For example, the system may be used to deliver a tissue supporting device to a bifurcated artery such that, on expansion, the tissue supporting device provides side ports of a specific size and geometry to accommodate bifurcations in the artery. The delivery system is capable of accurately orienting these side ports both radially and longitudinally with respect to branch lumen openings of the artery. The delivery system achieves orientation by utilizing a guide member which is positioned to extend from the side port feature of the tissue supporting device. The guide member is tracked along a guidewire which extends into the branch lumen, ultimately orienting the side port of the tissue supporting device properly at the branch lumen opening. After expansion of the tissue supporting device, the guide member-drops out of the enlarged side port and is withdrawn.
Abstract:
A catheter is insertable into a vessel within a mammalian body. The catheter includes a tubular body, at least one channel extending along the tubular body; and a central lumen. The tubular body includes an exterior surface, a first end and a second end, and defines a length between the first end and the second end. The channel passes between a first opening and a second opening and includes a slot in the tubular body between the channel and the exterior surface of the tubular body such that a tubular member can be passed between the channel and the exterior surface. The slot extends from the first opening to the second opening and includes a pair of edges. The central lumen extends along the tubular body at least for a portion of the length of the tubular body. The catheter can be used as a rapid exchange catheter, for stent deployment, for drug delivery or therapeutic infusion with or without electroporation, to provide localized heat, to provide ultrasonic visualization and ablation, and to examine for vulnerable plaque. The catheter may have multiple balloons.
Abstract:
A catheter is insertable into a vessel within a mammalian body. The catheter includes a tubular body, at least one channel extending along the tubular body, and a central lumen. The tubular body includes an exterior surface, a first end and a second end, and defines a length between the first end and the second end. The channel passes between a first opening and a second opening and includes a slot in the tubular body between the channel and the exterior surface of the tubular body such that a tubular member can be passed between the channel and the exterior surface. The slot extends from the first opening to the second opening and includes a pair of edges. The central lumen extends along the tubular body at least for a portion of the length of the tubular body. The catheter can be used as a rapid exchange catheter, for stent deployment, for drug delivery or therapeutic infusion with or without electroporation, to provide localized heat, to provide ultrasonic visualization and ablation, and to examine for vulnerable plaque. The catheter may have multiple balloons.
Abstract:
Novel catheter constructions comprising thin covering or wrapping materials such as polymer films. A catheter provided with a guidewire catheter lumen having a thin covering that is easily punctured by a guidewire at virtually any desired point along the catheter length. The thin covering may be integral with the catheter shaft, or may be a separate component that covers only the portion of the catheter shaft immediately adjacent the outer portion of the guidewire lumen, or may be a thin tubular construct that surrounds the entire catheter shaft. Moreover, polymer film can be used in combination with one or more elements to produce novel catheter constructions.
Abstract:
A physician access system comprising a catheter for use with an endoscope, the catheter including a wire guide lumen having a plurality of access ports disposed along an intermediate portion thereof to permit the insertion of a wire guide at different locations. The location of each access port corresponds to a specific length of the catheter exiting from the distal end of the endoscope. The access ports are located so that at least one of the access ports will be positioned near the endoscope handle when the distal end of the catheter, and any operational tool attached thereto, has been extended a short distance past the distal end of the endoscope. A physician may select the access port which best allows simultaneous control of the wire guide and the endoscope depending on the length of the catheter that the physician desires to have extend from the end of the endoscope.
Abstract:
A catheter system for treating lesions is provided. The system is suitable for treatment of bifurcation lesions, has a low profile and provides substantially predictable translational and rotational positioning. In one embodiment, the system includes a fixed wire balloon catheter and a partially attached guidewire lumen, wherein the guidewire lumen is attached to the catheter at a crotch point. The location of the crotch point is predetermined so as to provide substantially predictable positioning. Several embodiments of the system are described for various types of lesions and vessel configurations.
Abstract:
A medical device comprises a catheter having a catheter shaft and a medical balloon positioned thereon, as well as a rotatable assembly disposed about the balloon. The balloon has a pre-expansion state and an expanded state. The rotatable assembly comprises a sheath, wherein the sheath is disposed about the balloon in both the pre-expansion state and in the expanded state. The sheath is rotatable about the balloon in the pre-expansion state. The sheath comprises an inner layer and an outer layer, the inner layer is in rotatable contact with the balloon and the outer layer is disposed about the inner layer. The inner layer is at least partially constructed of at least one material having a durometer value greater than that of the outer layer.
Abstract:
Provided is an aspiration catheter which does not require a large-scale device, has a largest possible aspiration lumen, and is sufficiently flexible to track tortuous blood vessels following a guidewire, thereby being easily advanced to a target site to be treated. In the aspiration catheter, the tip of the main shaft is obliquely cut, the distal end of the guidewire shaft is positioned at the distal end of the main shaft or protrudes from the distal end of the main shaft in the distal direction, and the relationships 0.5≦L2/L1 and L2−L1≦5 mm are satisfied, wherein L1 is the length of the obliquely cut portion of the main shaft in the longitudinal direction of the catheter, and L2 is the length from the proximal end of the guidewire shaft to the distal end of the main shaft.
Abstract translation:提供了一种不需要大规模装置的抽吸导管,具有最大可能的吸液腔,并且具有足够的柔性以跟踪导丝跟踪曲折的血管,从而容易地前进到待治疗的目标部位。 在吸引导管中,主轴的前端倾斜切割,导丝轴的前端位于主轴的远端,或者在远端方向上从主轴的远端突出, 0.5 <= L 2 / L 1和L 2 -L 1 <= 5mm,其中L 1是主轴在导管的纵向方向上的倾斜切割部分的长度,L 2是长度 从导丝轴的近端到主轴的远端。