This document provides vascular filtering devices and methods for their use. In some embodiments, the vascular filtering devices include an elongate member having a wall with one or more apertures and a lumen. The vascular filtering devices can also include a porous membrane bag portion with multiple elongate extensions that extend through the apertures of the elongate member and through the lumen of the elongate member, exiting the lumen at the proximal region of the elongate member.

A filter device includes: a shaft having an intermediate coil wire between a proximal filter wire and a distal filter wire; a proximal filter on the proximal filter wire; and a distal filter on the distal filter wire. The intermediate coil wire is disposed to extend between downstream and upstream blood vessels to pass through a path of placement that leads to another downstream blood vessel. Both the filters have a contracted configuration for being delivered into the blood vessel and an expanded configuration for capturing an embolus inside the blood vessel. The proximal filter is oriented such that an inlet opening, for taking in the embolus, of a proximal filter body in the expanded configuration faces the distal side, and the distal filter is oriented such that an inlet opening, for taking in the embolus, of a distal filter body in the expanded configuration faces the proximal side.

Disclosed is a guidewire stop configured to lock a medical device onto a guidewire. The guidewire stop comprises a locking element, an actuator coupled to the locking element and a locking tube, wherein at least a section of the guidewire and at least part of the locking element or actuator pass through the locking tube. Further disclosed is that the locking tube comprises an unlocking element configured to unlock the medical device from the guidewire. The disclosed guidewire stop has at least the following three configurations:an initial unlocked configuration in which the guidewire stop and the medical device are movable relative to the guidewire;a first locked configuration in which the guidewire stop and the medical device are not movable relative to the guidewire; anda first unlocked configuration in which the guidewire stop and the medical device are movable relative to the guidewire.

Embolic protection elements are integrated with a catheter or access sheath for any catheter. A catheter with an integrated embolic protection element comprises a catheter shaft, an embolic filter slidably mounted on a distal portion of the shaft, a proximal stop for limiting the proximal movement of the embolic filter, and a distal stop for limiting the distal movement of the embolic filter. The filter comprises a porous mesh material defining a collection chamber for captured emboli and has a collapsed and a deployed configuration. The filter may be collapsed by an access sheath used with the catheter. An access sheath may comprise a tubular main body and an embolic filter mounted on the distal portion of the tubular main body. The embolic filter may evert into the central lumen of the sheath or may be constrained on the exterior of the sheath with a larger diameter outer tube.

An endovascular assembly of a guidewire having two stoppers and a deformable element having a deformable basket/braid and two sliders sliding over the guide wire. The distance between the stoppers is smaller than the distance between the sliders so that when the stoppers each engages a slider, the deformable basket is thicker than its rest shape. In one embodiment, the distance between the stoppers may be altered to facilitate e.g. retrieval of the assembly.

Single filter and multi-filter endolumenal methods and systems for filtering fluids within the body. In some embodiments a blood filtering system captures and removes particulates dislodged or generated during a surgical procedure and circulating in a patient's vasculature. In some embodiments a filter system protects the cerebral vasculature during a cardiac valve repair or replacement procedure.

Vascular filtering devices and methods for their use are disclosed. In some embodiments, the vascular filtering devices include an elongate member having an unsupported membrane bag portion attached thereto. The membrane may be porous in some examples. Multiple elongate extensions may also extend from the membrane, and may extend along the elongate member, such as to a proximal region of the elongate member. The unsupported membrane bag portion may be configured to inflate or otherwise radially expand away from the elongate member as a result of blood flowing through the vessel within which the vascular filtering device is positioned.

Disclosed herein are devices and methods for providing embolic protection in a patient's vascular system. In particular, the devices detailed herein are supported by a flexible scaffold that is coupled to a filter. When deployed into the peripheral or coronary vasculature of a patient, the embolic protection devices of the present disclosure collect and remove embolic debris as a prophylactic measure to lessen the risk of embolic associated complications.

Single filter and multi-filter endolumenal methods and systems for filtering fluids within the body. In some embodiments a blood filtering system captures and removes particulates dislodged or generated during a surgical procedure and circulating in a patient's vasculature. In some embodiments a filter system protects the cerebral vasculature during a cardiac valve repair or replacement procedure.

The embolic protection device comprises an embolic filter attached to an inner sheath. The embolic filter includes at least a first catheter access port and a second catheter port. At least the first catheter port will typically be radially expandable to receive catheters of different diameters and will be located at an atypical end of an aero conical structure at a downstream end of the filter.