Provided herein are dual-lumen catheters, systems, and methods thereof. In some embodiments, for example, a catheter assembly configured for modifying intravascular lesions is provided including a core wire, a dual-lumen extrusion including the core wire, and a manifold disposed around a portion of the dual-lumen extrusion. The core wire includes a proximal end configured to vibrationally couple to an ultrasound transducer. The dual-lumen extrusion includes a first lumen and a second lumen. The core wire is disposed within the first lumen, and the second lumen is configured to accommodate a guidewire. The manifold is disposed around at least a skived proximal-end portion of the dual-lumen extrusion, wherein the skived portion includes the second lumen without the first lumen. In some embodiments, the catheter assembly further includes the ultrasound transducer. In some embodiments, a system console includes the ultrasound transducer.

A hose line includes a sheath extending axially between a first hose end and a second hose end, and has an outer face and an inner face, an axial passage enclosed by the inner face and extending between the hose ends, a radial passage which extends through the sheath and connects the axial passage to the outer face, and a closure which is arranged between the radial passage and the second hose end and closes the axial passage in a fluid-tight manner. The radial passage is formed by a sheath portion which is bent and partially separated from the rest of the sheath along a partition line. The closure is formed by placing the sheath portion onto the inner face and connecting the sheath portion to the inner face in a fluid-tight manner. The hose line can be used in a catheter hose line.

A method of producing a bendable tip for an instrument, is provided, which includes: mounting a tube for an instrument in a CNC controlled rotational and axially movable holder of a laser cutting machine, with a distal end of the tube extending form the holder; activating a laser cutter; cutting wedge shaped partial circumferential openings in the tube to define a plurality of radially extending ribs at the distal end of the tube, with the ribs being connected together by an axially extending spine, and the ribs having first and second axial sides; during cutting, forming in each of the ribs in at least one of the first or second axial sides, at least one of an axial projection or a recess, and forming in a facing one of the at least one of the first or second axial sides of an adjacent one of the ribs at least one of a corresponding complementary mating recess or a corresponding axial projection.

An intra-corporal medical device, a medical device and a method of making an intra-corporal medical device. In one form, the device is formed from one or more tubes with a non-axisymmetric cross-sectional profile such that tines formed in a relatively planar surface of such a device exhibit the ability to accept larger deformations that will have improved mechanical properties, including a lower tendency to buckle under bending forces. In one form, the tube or tubes are made from shape memory materials such as Nitinol that can be expanded or bent in various directions in order to take advantage of shape memory effect, linear and non-linear pseudoelasticity and strain hardened cold work.

Polymer catheters and guidewires for use in intravascular surgery, and more particularly polymer catheters and guidewires micro-machined with a micro-cutting machine to provide sufficient flexibility to travel through a patient's vasculature while retaining sufficient torquability to transmit torque from a proximal end to the distal end of the catheter or guidewire, and methods of producing the same.

A medical device is disclosed for cutting substances inside a body lumen, the medical device including a rotatable tubular drive shaft; a treatment member arranged on a distal side of the drive shaft; and a device handle configured to retract the drive shaft, the device handle comprising: a fixed guide cover disposed to cover the drive shaft and an outer sheath disposed to cover the guide cover; and an annular gap between the outer sheath and the guide cover on a proximal side of a fluid connection configured to supply a physiological salt solution into the outer sheath.

A medical device is disclosed for cutting substances inside a body lumen, the medical device including a rotatable tubular drive shaft; a treatment member arranged on a distal side of the drive shaft; and a device handle configured to retract the drive shaft, the device handle comprising: a fixed guide cover disposed to cover the drive shaft and an outer sheath disposed to cover the guide cover; and an annular gap between the outer sheath and the guide cover on a proximal side of a fluid connection configured to supply a physiological salt solution into the outer sheath.

A method for producing a distal-end assembly of a medical device, the method includes disposing a first layer on at least part of a given section among one or more sections of a flexible substrate. At one or more selected locations on the given section, which are to serve as electrodes on the distal-end assembly of the medical device, a second layer is disposed so that, when brought into contact with tissue, the second layer has a reduced impedance for transferring electrical signals to or from the tissue at a predefined frequency range, relative to the first layer. The given section is shaped to form the distal-end assembly.

A guiding catheter has a proximal portion constructed of a tubular braid and a shape-retentive distal portion including a superelastic hypotube cut to define particular mating, support, shape-retentive and flexibility characteristics. A tubular liner extends through both of the tubular braid and the hypotube. The hypotube is joined to the braid using a mechanical interlock that has high torque transfer from the braid to the hypotube. A short portion of high stiffness polymer tube is provided at a joint between the braid and the hypotube. A polymeric outer jacket is provided over the proximal and distal portions, including the polymer tube. The jacket is heat set over the hypotube to remove residual stress.

Disclosed are intravascular devices having enhanced one-beam cut patterns. An elongated member includes a plurality of fenestrations that define a plurality of axially extending beams interspersed between a plurality of circumferentially extending rings. The beams are formed using a dual-pass cutting method in which a blade makes two, rotationally offset cutting passes at a given longitudinal location of the elongated member. The resulting beam has enhanced structure that avoids overly sharp edges and minimizes structural weak points.