The subject guide catheter extension system with a micro-catheter delivery catheter includes an outer sheath, an inner member extending within the sheath, and a mechanism for engagement/disengagement of the inner member to/from the sheath. Several mechanisms of engagement/disengagement between the inner and outer members are provided including a friction mechanism, threaded mechanism, pull away sheath, and engagement/disengagement mechanism for pusher's handles. The sheath and the inner member are modified for different engagement/disengagement mechanisms operation. A micro-catheter delivery system provides for an improved atraumatic crossability to the treatment site in an expedited and simplified fashion. During a procedure, a guidewire along with a guide catheter are advanced to the vicinity of the treatment site within a blood vessel. Subsequent thereto, the subject guide catheter extension system is manipulated to advance the micro-catheter along the guidewire inside the guide catheter towards and beyond the site of interest. Once the micro-catheter is in place, the outer sheath slides along the micro-catheter until reaching the lesion, and then the inner member is removed from the sheath, and the sheath then is ready for passing the treatment catheter (stent/balloon) towards the lesion to be treated.

Described are methods, systems, devices for facilitation of intraluminal medical procedures within the neurovasculature. A catheter advancement device includes a flexible elongate body having a proximal end, a distal end, and a single lumen extending therebetween. The flexible elongate body has a proximal segment, an intermediate segment, and a tip segment. The proximal segment includes a hypotube coated with a polymer. The intermediate segment includes an unreinforced polymer having a durometer of no more than 72D. The tip segment is formed of a polymer different from the intermediate segment and has a durometer of no more than about 35D and a length of at least 5 cm. The tip segment has a tapered portion that tapers distally from a first outer diameter to a second outer diameter over a length of between 1 and 3 cm.

A neurovascular access catheter can comprise an elongate, flexible tubular body. The tubular body can comprise a proximal end, a distal end, and a side wall at least partially defining a central lumen. The central lumen can extend axially through the side wall. The tubular body can include a distal microcatheter segment that extends proximally from the distal end. The tubular body can include a proximal shaft that extends distally from the proximal end. The tubular body can include a tapered dilator segment being positioned in between the distal microcatheter segment and the proximal shaft segment.

A balloon catheter includes an inflation conduit including an inner inflation tube, an outer inflation tube disposed around the inner inflation tube, and an inflation lumen disposed between the inner and outer inflation tubes. The inner inflation tube includes a first polymer material, and a stiffener integrated into the inner inflation tube to increase a strength of the inner inflation tube. The stiffener includes a second polymer material different from the first polymer material. A balloon is attached to a distal end portion of the inflation conduit. An interior space of the balloon is in fluid communication with the inflation lumen for inflating the balloon when the inflation lumen is placed in fluid communication with an inflation source.

The present disclosure provides a catheter that includes a catheter tube defining the guidewire lumen with the catheter tube including an extruded polymer material. Molecules of the extruded polymer material extend circumferentially around the catheter tube to stiffen the catheter tube for strengthening the catheter tube against radial compression forces.

A reentry catheter for crossing a vascular occlusion includes an elongate flexible tubular body, having a proximal end, a distal end and at least one lumen extending there through. A reentry zone on the tubular body includes at least two and preferably three sets of opposing pairs of axially spaced exit apertures in communication with the lumen. The apertures are rotationally offset from each other and aligned in a spiral pattern around the tubular body. A method of crossing a chronic total occlusion includes the steps of advancing the reentry catheter across the occlusion via a channel formed in the subintimal space, and advancing a guidewire via a selected exit port into the native lumen distally of the occlusion. The catheter may be removed, leaving the guidewire across the occlusion to guide further interventional devices.

A balloon catheter and method for manufacturing are disclosed in which the fracturing of the vicinity of a proximal opening portion formed by an inner shaft can be prevented. A distal side of an inner shaft included by a balloon catheter is disposed in a lumen of an outer distal shaft, and a proximal side of the inner shaft is disposed on an outer surface of an outer proximal shaft, and the inner shaft forms a proximal opening portion which opens on an outer surface side of the outer proximal shaft. The inner shaft has a first region and a second region disposed on a proximal side of the first region. The first region is fixed to the outer surface of the outer proximal shaft. The second region is not fixed to the outer surface of the outer proximal shaft.

The subject guide catheter extension/pre-dilatation system includes an outer delivery sheath, an inner member extending within the sheath, and a mechanism for engagement/disengagement of the inner member to/from the sheath. The inner member is configured with a tapered distal tip having a delivery micro-catheter and a pre-dilatation balloon member attached to the tapered distal tip in proximity to the micro-catheter. The outer delivery sheath and the inner member are modified for different engagement/disengagement mechanisms operation. The delivery micro-catheter provides for an improved crossability for the balloon member to the treatment site in an atraumatic, expedited and convenient fashion. During the cardiac procedure, a guidewire and a guide catheter are advanced to the vicinity of the treatment site within a blood vessel. Subsequent thereto, the inner member and outer delivery sheath, in their engaged configuration, are advanced along the guidewire inside the guide catheter towards the site of treatment. Once at the treatment site, the balloon member is inflated for pre-dilatation treatment. Subsequently, the inner member is disengaged and retracted from the outer delivery sheath, and a stent is delivered to the treatment site inside the outer delivery sheath.

A catheter that does not require a fixing tool for fixing an end of a reinforcing body to an inner layer and does not require a separate marker to allow a user of the catheter to visually recognize a position of the catheter during procedures. The catheter includes a catheter main body having an inner layer that is a hollow tubular body, a braid that covers an outer periphery of the inner layer from a proximal end of the inner layer to a distal end of the inner layer, and an outer layer that covers an outer periphery of the braid. At least one end portion of the braid is folded under itself to form a folded part, and an end of the braid is in contact with the inner layer and is arranged in a lowest layer of the folded part.

A dilator includes a distal end side coil part, and a proximal end side coil part located at a proximal end side of the distal end side coil part and having a distal end portion connected to a proximal end portion of the distal end side coil part. The distal end side coil part includes a first coil having a wire wound in a first winding direction, and a second coil provided on an outer periphery of the first coil and having a wire wound in a second winding direction that is opposite to the first winding direction. The proximal end side coil part includes a third coil having a wire wound in the second winding direction, and a fourth coil provided on an outer periphery of the third coil and having a wire wound in the first winding direction.