One embodiment is directed to a system for creating translumenal vascular access, comprising a dilator adaptor member having proximal and distal ends and defining a dilator adaptor lumen therethrough, wherein the dilator adaptor lumen is defined by an inner diameter profile sized to accommodate insertion of one or more portions of a guidewire, and wherein the dilator adaptor is further defined by an outer diameter profile sized to accommodate at least partial insertion of the proximal end of the dilator adaptor into a dilator member lumen formed through a dilator member, the dilator member being coupleable to an introducer catheter member through an introducer member lumen formed through the introducer member.

Cut-pattern designs creating a frame structure from a solid tube, which may be used as a portion of medical device, such as a catheter. The tube includes a plurality of units of cutout segments which are distributed in band around a circumference of the tube. A tube can have multiple different zones, each having units with varying cutout segments. The cutout segments can have varying cutout surface area allowing the flexibility of the tube to be modified at any point along the tube by altering the cutout surface area with zones having greater cutout surface areas as compared to another zone are more flexible. The tube can be incorporated into a catheter.

A medical elongated body or a balloon catheter that include a catheter main body, a tubular body, and a distal member at a distal end of the tubular body. The distal member is more flexible than the tubular body. The distal end of the tubular body is joined to the distal member at a joint portion. The tubular body includes an outer layer and an inner layer disposed inside of the outer layer in the radial direction of the tubular body. The material of the inner layer possesses better fusing properties with respect to the distal member than the fusing properties of the outer layer material with respect to the distal member material. The inner layer is interposed between the distal member and the outer layer by extending between the distal member and the outer layer at the joint portion.

Embodiments of the invention are directed towards a rapid exchange catheter configured for insertion into a subintimal space and crossing an occlusion in a subintimal space. The catheter includes a proximal end, a distal end, a first lumen configured to receive a first wire, the first lumen extending longitudinally through a least a lateral port of the catheter, and a second lumen having at least a portion distal of the lateral port and extending through at least the distal end of the catheter. The catheter also includes an exchange port arranged on a exterior portion of the catheter configured to the receive a second wire and second rapid exchange port in communication with the second lumen. Moreover, other embodiments of the invention are directed towards methods for using the rapid exchange catheter to cross an obstruction in a vessel, e.g., a total or partial occlusion, in a subintimal space.

The apparatus includes a catheter having a combined infusion/aspiration lumen, a three lumen proximal portion and a two lumen distal portion. An infusion/aspiration valve located at the distal end of the catheter facilitates performing infusion and aspiration through the same lumen, which in turn reduces the number of lumens, and enables the combined infusion/aspiration lumen to be made larger without the need to increase the diameter of the catheter. Differing material properties in the proximal and distal portions of the catheter enable the proximal portion to be made stiffer for pushability, while the distal portion is more flexible to navigate tortuous vasculature and enable a greater amplitude agitator to be received within the catheter.

A flexible tip dilator is disclosed. The flexible tip dilator includes a hollow elongated tubular member with a proximal region and a tapered distal region. The tapered distal region has three regions with a first region made from at least a first material but not a second material and a third region made from at least the second material but not the first material. The second region is includes both the first and second materials overlapping one another.

Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a guide extension catheter. The guide extension catheter may include a push member having a proximal portion with a proximal stiffness, a distal portion with a distal stiffness different from the proximal stiffness, and a transition portion disposed between the proximal portion and the distal portion. The transition portion may provide a smooth transition between the proximal stiffness and the distal stiffness. The push member may have a first outer diameter. A distal tubular member may be attached to the push member. The distal tubular member may have a second outer diameter larger than the first outer diameter.

Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a guide extension catheter. The guide extension catheter may include a proximal shaft having a first outer diameter. A distal sheath may be attached to the proximal shaft and may have a second outer diameter greater than the first outer diameter. The distal sheath may be designed to extend past a coronary ostium and into a coronary artery so that another medical device can pass therethrough toward the coronary artery. An expandable balloon may be coupled to the distal sheath.

A catheter drainage member (112) configured to be attached to a catheter tube (116), the drainage member comprising: body (115) having an inner surface (114); a well (120) defined by the inner surface of the body, the well configured to receive the catheter tube and an adhesive (122); and wherein the well is configured to selectively distribute the adhesive between the inner surface and the tube.

A stent delivery system includes a distal end shaft having a tapered portion, a spirally-arranged protruding portion provided on an outer peripheral face of the tapered portion, an inner shaft extending toward a proximal end side in a longitudinal axis direction of the distal end shaft, a self-expanding stent, and an outer shaft. The outer shaft is slidable between a first position where the stent in a contracted state is covered and a second position on the proximal end side of the stent in the longitudinal axis direction of the inner shaft. An outermost periphery of the outer shaft fits inside an outermost periphery of the spirally-arranged protruding portion in a frontal view from the distal end side of the distal end shaft in the longitudinal axis direction.