A delivery system can be provided with an ability to change its configurations to achieve both access to target anatomy and treatment thereof. Such treatments can include directing interventional devices around an occlusion. By providing different functionality at different stages, the need to exchange and replace tools at different stages can be reduced or eliminated. Accordingly, such operations can be completed more rapidly, efficiently, and safely.

A clot removal device for removal of an occlusion from a lumen in a patient's body is provided. The clot removal device has a lumen, an elongated member positioned within the lumen and extending axially from a proximal end to a distal end of the lumen, a handle attached to the proximal end of the lumen, a first expandable member positioned along a length of the elongated member, a second expandable member positioned along the length of the elongated member, wherein the second expandable member is distal to the first expandable member relative to the handle. The handle has at least one actuation mechanism and at least one of the following applies: a) the first expandable member is coupled to the at least one actuation mechanism and is configured to be moveable relative to the second expandable member upon manipulation of the at least one actuation mechanism; b) the first expandable member is configured to mechanically expand or contract by manipulating the at least one actuation mechanism; c) the second expandable member is coupled to the at least one actuation mechanism and is configured to be moveable relative to the first expandable member upon manipulation of the at least one actuation mechanism; or d) the second expandable member is configured to mechanically expand or contract by manipulating the at least one actuation mechanism.

Devices and methods for securing a cover of a retrieval device while the retrieval device is resheathed to a more proximal position within a delivery sheath are disclosed herein. A retrieval device may include, for example, a securing element configured to grip the cover when the retrieval device is pulled proximally, to thereby secure the cover. A method of positioning the retrieval device may include, for example: (a) advancing the retrieval device distally through a delivery sheath to a partially deployed state while the securing element is in a first state, and (b) retracting the clot retrieval proximally from the partially deployed state while the securing element is in a second state that grips the cover to secure the cover.

A catheter having a lumen includes a tube, a sensor unit disposed at a distal end of the tube and capable of transmitting and receiving ultrasound, and an irradiation unit disposed at the distal end of the tube and capable of emitting the ultrasound toward a guide wire which passes through the lumen and protrudes from the distal end of the tube. The shape of the biological tissue can be observed by transmitting the ultrasound from the sensor units toward the biological tissue and receiving the reflection wave reflected by the biological tissue at the sensor units. Irradiating the guide wire with the ultrasound transmitted from the irradiation unit causes the guide wire to vibrate. The vibration of the guide wire can facilitate the passage through an occlusion site of the biological tissue.

Techniques and devices for removal of clot/material from body passages utilize a main carrying wire, a main elongated sleeve element braided from a plurality of wires to form a proximal tubular section having a proximal opening and a funnel-shaped distal section tapering distally onto a distal end portion of the main carrying wire for rigid attachment thereto, a deformable ring element coupled to the proximal opening of the main elongated braided sleeve element and configured for changing the proximal opening from a normally opened state to an at least partially closed state, and a control wire rigidly coupled to the deformable ring element for manipulating the proximal opening of the main elongated braided sleeve element between its normally opened and at least partially closed states for secure removal of the captured target clot from the blood vessel.

According to one aspect, a method for removing material from a body lumen is disclosed. The method may include positioning a first medical device within the body lumen; and expanding an expandable member at a distal portion of the first medical device from a retracted state to an expanded state. The expandable member may abut the body lumen in the expanded state. The method may further include providing fluid to a fluid lumen of the first medical device, wherein the fluid is deployed into the body lumen; applying an ultrasound signal to the first medical device from a second medical device; and moving the first medical device distally through the body lumen while the expandable member is in an expanded state, to remove material from the body lumen.

Provided herein are methods and systems for the removal of anatomical occlusions, and an occlusion removal device comprising a first body adapted to be mounted to a delivery wire and releasably engaged to the delivery wire, wherein while engaged the first body remains fixed on the delivery wire and upon release moves axially along the delivery wire, and a second body adapted to be mounted to the delivery wire. A first proximal body may be oriented proximally to a second distal body. The proximal body and the distal body may be adapted to expand upon exiting a delivery catheter. The proximal body may be releasably engaged by a mechanically breakable connection or an electrolytically or heat disconnectable connection, the electrolytically disconnectable connection being broken upon an application of electric current to the electrolytically disconnectable connection.

Embodiments of the disclosed technology provide flow diverting devices for dialysis vascular access, and methods for use therewith. According to some embodiments of the disclosed technologies, a medical device comprises: a tubular vascular stent; and a flow restrictor disposed within the tubular vascular stent. According to some embodiments of the disclosed technologies, a method comprises: providing a medical device, the medical device comprising: a tubular vascular stent, and a flow restrictor disposed within the tubular vascular stent; and deploying the medical device at a site within a vascular access of a patient. According to some embodiments of the disclosed technologies, a medical device comprises: a tubular vascular stent; one or more anchor struts formed on at least one end of the tubular stent; a flow restrictor disposed within the tubular vascular stent; and a tubular stent cover, wherein the vascular stent is disposed within the tubular stent cover.

Mechanical thrombectomy apparatuses including an inverting, rolling conveyor region (“tractor”) at the distal end that are configured to grab and remove thrombus material. In particular, described herein are mechanical thrombectomy apparatuses that are adapted to prevent premature deployment of the tractor, e.g., by including a tractor hold (e.g., a housing, a lock, a clamp, etc.) or the like to secure the outer end of the tractor against and/or relative to the elongate inversion support.

A medical device for removing a material from a hollow anatomical structure is provided. The device may include a shaft member. The device may include an expandable centering element near the distal end of the device. The device may include a macerator element either attached to the shaft or independent and freely moveable from the shaft. Alternatively, the device may include a rotating wire attached to the macerator element. The device may include an aspiration lumen in for removal of material. The device may include a drive shaft attached to a motor and used to rotate the macerator element. The device may be used in combination with a distal occlusion element, which may be either a radially expandable filter or balloon member.