A medical arrangement is configured to introduce an object, such as an implant or medicament, from a distal end of the arrangement into an anatomical target position. The medical arrangement comprises a first and second introducer, both having distal and proximal ends. The first introducer is an outer introducer and the second introducer is configured to be operated inside and guided by the first introducer. In addition, at least a portion of the first introducer is configured to take a first curved shape, and at least a portion of the second introducer is configured to take a second curved shape so that the first and second curved shapes are concentric curved shapes so all curves are in the same hand direction and thereby form a helical loop structure.

This catheter has: a shaft (10) has a first side hole (31) and a second side hole (32) in a wall (12); an insertion member (20) disposed in the lumen (11) of the shaft (10); a first electrode (41) provided on outer side of the first side hole (31); and a first wire (51) that is electrically connected to the first electrode (41) through the first side hole (31) and extents in the lumen (11) of the shaft (10) but outside the insertion member (20), wherein the first wire (51) has a first position (61) and a second position (62) inside the shaft (10), and the second position (62) of the first wire (51) is located at a position deviated from the first position (61) by 45 degrees or more in a circumferential direction of the insertion member (20).

A urinary catheter assembly includes a catheter member and a sleeve member receiving at least a portion of the catheter member and having a greater flexibility than the catheter member. The assembly also includes a stylet having a proximal end movably positioned within the catheter member, with a distal portion of the stylet being positioned outside of the catheter member. The assembly is movable between a compact configuration and an extended configuration. In the compact configuration, the distal portion of the stylet is positioned outside of the catheter member and at least partially within the sleeve member. In the extended configuration, a larger distal portion of the stylet is positioned outside of the catheter member than in the compact configuration. The assembly may be in the extended configuration for introduction into a urethra or may be advanced through a urethra prior to being moved to the extended configuration.

A cannula assembly includes an elongate shaft assembly that is adjustable by a clinician to vary the length of the cannula assembly. In particular, the elongate shaft assembly may be transitioned to provide various lengths of the cannula assembly by selectively positioning a plurality of segments of the elongate shaft assembly. In this manner, a single cannula assembly may be tailored to each patient or a surgical procedure being performed.

Catheter devices and uses thereof are provided that include inner and outer tubular members, each having proximal and distal ends, where the distal end of the outer tubular member is shaped, including at least one curve, such as a Judkins right curve or an Amplatzer left curve. At least a portion of the inner tubular member is coaxially positioned within the outer tubular member. The control mechanism has a housing with a means to seal an inner luminal space thereof, where the control mechanism is coupled to the proximal ends of the outer tubular member and the inner tubular member. The control mechanism is operable to extend and retract the distal end of the inner tubular member from the shaped distal end of the outer tubular member.

The invention relates to a puncture system having an outer tubular body which is designed to remain in a body part of a living being, said puncture system comprising at least one inner tubular body and a puncture needle, wherein the inner tubular body is guided through a working lumen of the outer tubular body and is longitudinally displaceable relative to the outer tubular body, and the puncture needle is guided through a puncture lumen of the inner tubular body and the inner tubular body is longitudinally displaceable relative to the puncture needle. The puncture system has a manually actuatable element that can be moved by manual actuation at least into a fixing position and into a release position, wherein, in the fixing position, the longitudinal displaceability a1) of the inner tubular body relative to the outer tubular body and/or a2) of the puncture needle relative to the inner tubular body and/or a3) of the puncture needle relative to the outer tubular body is removed or reduced.

An orientable catheter (10, 110, 210) comprising a first tubular body (16, 116, 216) having a distal portion with shape memory (26, 126, 226) which is curved at rest, and a second tubular body (38, 138, 238) having a distal stiffening portion (54, 154, 254) forming a stiffening element capable of sliding relative to the first tubular body (16, 116, 216) between a stiffening position in which the stiffening element (54, 154, 254) imposes a straightened configuration on the distal portion with shape memory (26, 126, 226), and a retracted position in which the stiffening element (54, 154, 254) does not interfere with the resting curved configuration of the distal end with shape memory (26, 126, 226).

A delivery device for delivering a catheter into an intravenous catheter assembly may include a first catheter, which may include a first portion, a second portion distal to the first portion, and a transition portion disposed between the first portion and the second portion. The first portion may include a first inner diameter along a length of the first portion and a first outer diameter along the length of the first portion. The second portion may include a second inner diameter and a second outer diameter along a length of the second portion. The second inner diameter and the second outer diameter may be less than the first inner diameter and the first outer diameter, respectively. The transition portion may be disposed distal to the distal end of the housing when the first catheter is advanced.

Disclosed herein is a catheter for positioning through a conventional guiding catheter into the vasculature of a patient, the catheter having a distal tube and a proximal shaft coupled to a proximal portion of the distal tubular member. The distal tube can have a tubular wall, a tube lumen defined within the tube by the tubular wall, a proximal opening sized to allow a medical device to be positioned therethrough, and at least one opening defined within the tubular wall along a length of the distal tube.

An access system can include a connector for coupling with a catheter assembly having a catheter tube that can be positioned in a blood vessel of a patient, a reinforcement member fixedly secured to the connector, and a cannula movable relative to the reinforcement member from a retracted position in which at least a portion of the cannula is within the reinforcement member to an advanced position. The cannula can include a polymeric tube and a support tube that encompasses a portion of the polymeric tube. The support tube defines a distal edge that is within the reinforcement member when the distal tip of the polymeric tube is first positioned distal of and external to the reinforcement member as the cannula is transitioned from the retracted position to the advanced position.