Introducer sheaths and (e.g., guide) catheters with inflatable trapping elements for trapping and/or stabilizing devices (e.g., guidewires, catheters, and/or the like) in a primary lumen of the sheath or catheter. Such sheaths and catheters may be configured for endovascular, endoscopic, laparoscopic, and/or urological procedures.

Percutaneous devices and methods for releasably engaging a guidewire against an inner surface of a tubular member are disclosed. A percutaneous device can include a tube member, a push member, and a fixation mechanism such as a fixation balloon. The tube member can define a lumen sized and shaped to receive one or more interventional medical devices therethrough and can have an outer diameter smaller than a lumen of a guide catheter. The push member can extend proximal of the tube member for slidably positioning a distal end portion of the tube member within and beyond a distal end of the guide catheter. The push member can include a lumen in fluid communication with an interior of the fixation balloon, for example, for delivering inflation fluid to, or removing fluid from, the balloon. The fixation balloon can be positioned can be positioned and configured to engage a guidewire against the inner surface of the guide catheter or of the tube member when inflated.

Medical devices, medical device systems, and methods for using the same are disclosed. An example medical device system may include a guide catheter having a proximal end, a distal end, and a lumen extending therebetween. The guide catheter may be designed to guide a therapeutic catheter to a target site. A guidewire may be disposed within the lumen of the guide catheter. The system may also include a trap balloon catheter including a catheter shaft and a balloon coupled to the catheter shaft. The trap balloon catheter may be designed to extend through the lumen of the guide catheter to a position adjacent to the distal end of the guide catheter. A trap balloon retainer may be coupled to the catheter shaft. The trap balloon retainer may be designed to prevent a distal end of the trap balloon catheter from extending distally beyond the distal end of the guide catheter.

The present disclosure provides a catheter including a first tubular structure defining a first lumen, the first tubular structure having a first end and a second end. The catheter may also include a second tubular structure defining a second lumen, the second tubular structure having a first end and a second end. The catheter may also include an aperture between the first tubular structure and the second tubular structure. The aperture is located at the first end of the second tubular structure. A first portion of the first tubular structure extends beyond the aperture, and the second tubular structure is positioned adjacent to a second portion of the first tubular structure.

A method for replacing a first sheath, whose distal end is positioned inside a vessel and whose proximal end is positioned outside the skin of a patient, with a second sheath may involve inserting a dilator over a guidewire and into the first sheath until a distal end of the dilator and a distal end of the guidewire are positioned inside the vessel. The dilator may be hubless or include a removable hub. The method may further involve removing the first sheath, thereby leaving only the dilator and the guidewire in place. After removing the first sheath, a second sheath may be passed over the dilator and the guidewire until the distal end of the second sheath is positioned inside the vessel. The method may further involve removing the dilator and the guidewire, leaving only the second sheath in place.

The present disclosure provides for novel ways of delivering tensioning elements, such as tethers, and deployable anchors, to a desired location within the anatomy of a patient. More specifically, the present disclosure provides a system and method for delivering deployable anchors to a desire location within the anatomy and tethering the anchors together through tissue. The deployable anchors may include anchors that have a pre-deployment elongate configuration and a post-deployment planar configuration.

Methods of monitoring arterial blood using an arterial line tube positions adjacent to a groin sheath, as part of a surgical intervention. Described herein are methods and apparatuses (e.g., systems) for introduction of an arterial line tube for contemporaneous and sensitive blood pressure monitoring along with other instrumentation in the course of a therapeutic intervention through a femoral artery, affording improved monitoring results.

Percutaneous devices and methods for releasably engaging a guidewire against an inner surface of a tubular member are disclosed. A percutaneous device can include a tube member, a push member, and a fixation mechanism such as a fixation balloon. The tube member can define a lumen sized and shaped to receive one or more interventional medical devices therethrough and can have an outer diameter smaller than a lumen of a guide catheter. The push member can be attached at least to a proximal end portion of the tube member for slidably positioning a distal end portion of the tube member within and beyond a distal end of the guide catheter. The push member can include a lumen in fluid communication with an interior of the fixation balloon for delivering inflation fluid to, or removing fluid from, the balloon. The fixation balloon can be positioned on a portion of the push member and can be configured to engage a guidewire against the inner surface of the guide catheter or the tube member when inflated.

A vascular access disassembling needle assembly is provided that enables rapid insertion of a guide wire into the needle and subsequent rapid removal of the access needle off the guide wire by facile disassembly of the needle. The disassembling needle assembly includes a needle portion wherein the needle breaks apart by splitting along at least one seam that extends from the proximal to the distal end to allow removal of the guide wire. Various mechanical features are described that can facilitate the separation of the needle body along at least one seam. Once one or more seams are separated, the needle body may be removed from the guide wire without the need to withdraw the needle along the length of the guide wire, which permits preloading of expanders and other medical devices onto the guidewire.

Described are methods and systems for transcervical access of the cerebral arterial vasculature and treatment of cerebral occlusions, including ischemic stroke. The methods and devices may include methods and devices which may provide aspiration and passive flow reversal, those which protect the cerebral penumbra during the procedure to minimize injury to brain, as well as distal catheters and devices to remove an occlusion. The methods and devices that provide passive flow reversal may also offer to the user a degree of flow control. Devices and methods which provide a way to securely close the access site in the carotid artery to avoid the potentially devastating consequences of a transcervical hematoma are also described.