A hydrodynamic catheter includes a catheter body with a catheter lumen and an infusion tube extending within the catheter body, the infusion tube configured for coupling with a fluid source near the catheter proximal portion. An inflow orifice and an outflow orifice are positioned at locations along a catheter body perimeter. A fluid jet emanator is in fluid communication with the infusion tube, where the fluid jet emanator includes one or more jet orifices configured to direct one or more fluid jets through the catheter lumen from near the inflow orifice toward the outflow orifice. A pivot cylinder located along the catheter body perimeter is positioned distal relative to one or more of the fluid jet emanator, the inflow orifice, or the outflow orifice.

Apparatus for carrying out a medical procedure at a site in a patient's blood circulatory system, including a device to be implanted in the circulatory system, a sheath surrounding device and having a first diameter; a hollow tube having a second diameter and having a pressure transducer at its proximal end, and a filter that is collapsible into the sheath and is expandable out of the sheath for blocking debris and passing blood in the circulatory system.

Methods and devices for performing transjugular carotid flow reversal are provided. A flow reversal sheath is advanced through a transjugular carotid fistula. An occlusion balloon is inflated, causing carotid inflow to be diverted through the sheath and through a flow reversal region positioned in the jugular vein. After reversal of blood flow, a carotid intervention is performed.

A medical device is disclosed for collecting substances inside a body lumen. The medical device includes an elongated shaft portion; a filter portion that has multiple gaps, that is formed in a net shape, that is deformable to be in an expanded state where the filter portion has a basket shape so as to form a concave portion, and that is deformable from the expanded state to be in a contracted state where an opening end portion of the concave portion is contracted; and a support portion that is formed to include a gap larger than gaps of the filter portion and that includes an interlock portion interlocked with the opening end portion of the filter portion and a support side connection portion connected to the shaft portion.

To provide a medical tool that dramatically simplifies operations and has a small number of parts. For this purpose, the medical tool includes: an outer tube; a core that is inserted into the outer tube so as to be movable forward and backward; a medical tool main body that is attached to the core; and a containing member that is attached to the fore end of the outer tube, and is configured such that when by moving the outer tube forward relatively to the core, the containing member is made to approach the medical tool main body released out of the containing member, the containing member makes driving force for operating the medical tool main body act on the medical tool main body.

A prosthetic heart valve delivery catheter includes an embolic filter to provide integrated embolic protection to inhibit the release of emboli into the aorta, the aortic arch or branch vessels, and other vasculature during transvascular heart valve replacement procedures. The embolic filter will usually be fixedly or movably attached to a shaft of the delivery catheter proximal of the prosthetic heart valve.

A catheter for prevention of stroke by diverting and filtering the blood flow to carotid and vertebral arteries is provided. The catheter includes at least one balloon with an outer mesh cover that expands upon the balloon inflation and collapses upon balloon deflation. Partial inflation of balloons provides for full mesh expansion in the target vessel with resulting capturing and retrieval of embolic particles. The inflation of the balloon in the aortic arch or head vessels expands the balloon associated filtering mesh leading to both filtering and deflection of embolic particles from the cerebral circulation, while balloon deflation triggers the mesh collapse and promotes its recapturing and retrieval while minimizing the risk of spillage of captured emboli.

Aspects of the present disclosure are directed toward catheter-based apparatuses, such as componentry utilized with or as part of catheters, or as catheters or catheter assemblies. As may be implemented in accordance with one or more embodiments, a method and/or apparatus involves a filter having a frame that forms a perimeter of the filter and separates opposing surfaces thereof. An articulated arm is connected to the frame and configured therewith to, when deployed within a tubular organ, engage with opposing inner sidewall portions of the tubular organ and to utilize the inner sidewall portions to seal filter to the inner sidewall by applying force to the frame.

A device (24) for placing a seal around an implant in a blood circulation passage is provided. The device includes a hollow sheath having a longitudinal axis, and at least one releaser, deployable relative to the sheath is provided. The device (24) includes, for the or each releaser, a sealing body (64) releasably fastened on that releaser, the sealing body (64) having an angular span smaller than 360° around the longitudinal axis, and a filiform link (67) connecting at least one releaser to another releaser and/or to the controller (68) positioned in the sheath, the filiform link (67) being deformable between a relaxed idle configuration and a stretched configuration limiting the radial movement of the sealing bodies (64).

A medical device is disclosed for cutting substances inside a body lumen. The medical device includes: a drive shaft that is rotatable; at least one strut that is rotatably connected to a distal side of the drive shaft, the at least one strut extending along a rotation axis, and wherein a central portion of the at least one strut is bent so as to be expandable radially outwardly; and a support portion that is rotatably connected to the distal side of the drive shaft, and wherein the support portion is formed in a mesh shape and a tubular shape while including multiple gaps, at least a portion of which is positioned on a radially inside of the at least one strut, and which is expandable radially outwardly by a central portion in a direction extending along the rotation axis being bent.