A system for modulating delivery of a fluid medium includes an injector for injecting the fluid medium during an injection cycle, a delivery catheter including a conduit for delivering the fluid medium, a manifold disposed in a fluid medium flow path between the injector and the delivery catheter, and a pulsatile generator. The pulsatile generator is configured to apply a pulsatile force to the fluid medium defined by a plurality of duty cycles during the injection cycle, each of the duty cycles including a first pressure level and a second pressure level that is lower than the first pressure level.

The systems, devices, and methods presented herein use a blood pump to obtain measurements of cardiac function. The system can quantify the functioning of the native heart by measuring certain parameters/signals such as aortic pressure or motor current, then calculate and display one or more cardiac parameters and heart function parameters, such as left ventricular pressure, left ventricular end diastolic pressure, or cardiac power output. These parameters provide valuable information to a user regarding current cardiac function, as well as positioning and function of the blood pump. In some embodiments, the system can act as a diagnostic and therapeutic tool. Providing cardiac parameters in real-time, along with warnings about adverse effects and recommendations to support cardiac function, such as increasing or decreasing the volumetric flow rate of blood pumped by the device, administering pharmaceutical therapies, and/or repositioning the blood pump allow clinicians to better support and treat cardiovascular disease.

An extension cannula for use with a conventional ECMO return cannula is provided. The extension cannula includes a flexible conduit transitionable between a collapsed insertion state and an expanded deployed state when in communication with blood flow from an ECMO machine via the ECMO return cannula. The extension cannula may be positioned through a conventional ECMO return cannula such that the proximal end of the flexible conduit is disposed within and proximal to the end of the ECMO return cannula, while the distal end of the flexible conduit is disposed in a patient's thoracic aorta to deliver oxygenated blood directly to the patient's thoracic aorta via one or more pores at the distal region of the flexible conduit to improve cerebral oxygenation, maintain systemic arterial pulsatility, and reduce the potential for end-organ injury.

An endovascular catheter has an elongate catheter body having a distal portion, a proximal portion, a transition portion and a central lumen extending longitudinally through the catheter body, with the distal portion having a larger central lumen than the proximal portion. A guidewire tube extends through a hole in the transition portion from the proximal end of the distal portion through the central lumen of the distal portion to the distal end of the distal portion.

Devices, systems and methods for controlling, regulating, altering, transforming or otherwise modulating the delivery of a substance to a delivery site. The devices, systems and methods optimize the delivery of the substance to an intended site, such as a vessel, vascular bed, organ and/or other corporeal structures, while reducing inadvertent introduction or reflux substance to other vessels, vascular beds, organs, and/or other structures, including systemic introduction.

An aortic perfusion catheter is an apparatus that is used during surgery for acute ascending aortic dissection to reduce postoperative injuries from profound hypothermia, ischemia, and reperfusion. The apparatus may include at least one main cannula, an inflation cannula, a drainage cannula, and a balloon tamponade. The at least one main cannula helps maintain blood perfusion to the body during the procedure to reduce postoperative injuries. The inflation cannula enables the selective inflation and deflation of the balloon tamponade to facilitate the insertion and removal of the balloon tamponade along with the at least one main cannula within the descending thoracic aorta. The balloon tamponade prevents blood flow into the operative area to maintain the operative area clear during the procedure. The drainage cannula enables the drainage of blood that may escape the balloon tamponade as well as other bodily fluids.

A venous drainage cannula, catheter, or other device is in certain embodiments convertible or adjustable for application in cardiac surgery procedures involving cardiopulmonary bypass. Such a convertible cannula device can be modified, for example, for use as both a multi-stage cannula and a bi-caval cannula, so that the same device can be used in multiple different procedures where one or the other cannula type is needed. Such convertible cannula or other device can simplify and reduce a number of parts needed for a bypass procedure, by providing one adjustable and versatile device to serve multiple functions where different cannulae are traditionally required. Various embodiments further provide cannula devices where a variety of different hole or opening arrangements and configurations can be achieved, to adapt to various different procedures.

Systems and methods are provided for removing air from a medical device, such as a stent-graft and/or its delivery device. In an exemplary embodiment, the stent-graft or its delivery system or both are exposed to perfluorocarbon, by immersing the stent-graft or flushing the delivery device to remove air from the stent-graft. Optionally, the stent-graft and/or delivery system may be flushed multiple times, e.g., with perfluorocarbon before or after flushing with carbon dioxide, saline, a bio-inert gas, and the like. Thereafter, the stent-graft may be introduced into a patient's body and deployed at a target location, such as the site of an abdominal aortic aneurysm.

The described invention provides endovascular devices that share the following general features: a working segment, a support segment, a working lumen, a support lumen, a side hole, and an angled extension. A described endovascular device includes an outer support catheter and an inner catheter with a side hole optionally containing an angled extension disposed at least partially within the lumen defined by the outer support catheter. The inner catheter can be connected to sets of grips on the outer catheter and the inner catheter, which are used by the operator to rotate one catheter relative to the other so as to position the side hole or the angled extension of the inner catheter in the targeted vessel. A radiopaque marker or intravascular ultrasound can be used to identify the position of the distal side hole in vivo. In some devices, the distal segment beyond the side hole (the support segment) for each of the described devices is effective to provide stability to each endovascular device, to provide strength to the endovascular device, to provide support for the endovascular device, to facilitate placement of the endovascular device, to anchor the endovascular device within a blood vessel, to reduce kickback of the endovascular device, or a combination thereof. The endovascular devices described can include additional support elements, for example, a balloon, a stent, a wire, or a combination thereof. The described selectively inflatable balloon is of two dimensions, a diameter and a length, sized to fit within the diameter of a vessel, for positioning the endovascular device. It may be disposed in a circumferential array of selectively inflatable balloons, as a single distal inflatable balloon or both. The circumferential array of selectively inflatable balloons is effective to position the endovascular device within a target blood vessel. The single distal balloon is effective to anchor the endovascular device within a target blood vessel. Each inflatable balloon can be selectively filled with a fluid, e.g., sterile water and saline.

An aspiration system for aspirating blood clots from a human body has a power source, an aspiration pump, and an electrical motor coupled to the power source and the aspiration pump, wherein the aspiration pump is pulsed at a frequency below 10 Hz.