A medical catheter includes an elongate member and an insert. The elongate member has proximal and distal end portions and defines a longitudinal axis through the proximal and distal end portions. The elongate member includes a wall at least partially defining a longitudinal lumen and defining a side opening extending radially from an outer surface of the wall to the longitudinal lumen. The insert is at least partially disposed within the side opening and at least partially defines an insert passage in fluid communication with the longitudinal lumen. The elongate member includes a first material defining the side opening and the insert includes a second material different from the first material.

In one aspect, the present disclosure provides a catheter, the catheter with a distal length extending to a distal end, the distal length configured to indwell a cavity of a patient body. The distal length may include a first lumen extending longitudinally through a lengthwise portion of the distal length, where the first lumen may be at least partially defined by a first inner diameter surface of the distal length. The distal length may include a second lumen extending longitudinally through the lengthwise portion of the distal length, where the second lumen may be at least partially defined by a second inner diameter surface of the distal length. A first fenestration may be disposed through a side wall of the first lumen. A proximal length of the catheter may include a proximal lengthwise portion of the first lumen and the second lumen.

Multiphase microspheres for radioembolization include two-phase microspheres and three-phase microspheres prepared by a microfluidic process. The multiphase microspheres include a primary phase and a first secondary phase surrounded by the primary phase. The primary phase includes a first resin. The first secondary phase includes a second resin and at least one of a radioactive isotope or a compound including at least one radioactive element. Three-phase microspheres additionally include a second secondary phase discrete from the first secondary phase and also surrounded by the primary phase. The second secondary phase may be a gas such as air. The microspheres may be formed by a microfluidic process.

A medical device that includes a shaft defining a lumen and a distal portion, the distal portion defining a side opening in fluid communication with the lumen. The medical device includes a device coupled to the distal portion of the shaft and overlying the side opening. The device includes an expandable member configured to expand laterally outward from a collapsed state to an expanded state, and configured to permit fluid to flow through the expandable member and into the side opening. The device includes a constricting device positioned in contact with the expandable member and configured to move relative to the expandable member from a first position to a second position. The expandable member is in the collapsed state when the constricting device is in the first position and the expandable member is in the expanded state when the constricting device is in the second position.

Apparatus and associated methods relate to a coaxial stream delivery device having an inlet section and outlet section in fluid communication via a plenum chamber. In an illustrative example, an inner radius of the plenum chamber may monotonically decrease distally along a longitudinal axis. The inlet section may include an inner tubular wall extending along the longitudinal axis. At least one bridge may extend radially inward from the inner tubular wall to coaxially align an inner conduit therewithin relative to the longitudinal axis. The at least one bridge may define a corresponding number of annular sector apertures bounded by the inner tubular wall and an outer wall of the inner conduit. Various embodiments may advantageously be disposed in a fluid path to coaxially align a therapeutic fluid stream entering the inner conduit within a sheath fluid stream entering the annular sector apertures.

An irrigated ablation catheter includes a tip electrode with a thin shell and a plug to provide a plenum chamber. The tip electrode has an inlet of a predetermined size and noncircular shape, and outlets in the form of fluid ports formed in the thin shell wall. The plurality of the fluid ports is predetermined, as is their diameter. Each fluid port has a tapered configuration, for example, a frustoconical configuration, with a smaller inlet diameter and a larger outlet diameter.

A device for introducing material into a body cavity is shown. The device includes a catheter with a distal tip. A first lumen extends through the catheter. The catheter is configured to faun a mist from liquid passed through the first lumen, for example including a misting nozzle in fluid communication with the first lumen and configured to provide a mist from a flow of liquid through the first lumen. An inflatable balloon may be included on the catheter to allow the user to isolate the portion of the body in which the material is introduced. Additional described features can provide for controlled deflection of a distal region of the catheter, guidewire or guide loop tool lumens, misting nozzles on the catheter, and delivery apparatuses including the catheter devices coupled to endoscopes such as bronchoscopes. Methods of use of the catheter devices and delivery apparatuses are also described.

A midline catheter is provided. The midline catheter includes a shaft defining a lumen, the shaft having a distal end and a proximal end. The distal end includes two or more opposing notches thereon, each of the notches having an open notch distal end and an opposing notch proximal end formed as an arch. The catheter may also include written indicia thereon to indicate that it is a midline catheter and/or is power injectable or non-power-injectable.

Methods and systems for selection of dosimetry levels and sphere amounts of radioactive compounds for use in a radioembolization procedure for procedure planning may include inputting activity parameter information into a dosimetry portal of a dosimetry selection tool; determining a customized activity based on the activity parameter information and one or more customized activity algorithms; generating one or more sphere amount and dosage recommendations based on the customized activity and one or more dosimetry selection algorithms; selecting one of the one or more sphere amount and dosage recommendations as a selected sphere amount and dosage recommendation; and generating a radioactive compound order for the radioembolization procedure based on the customized activity and the selected sphere amount and dosage recommendation.

A midline catheter is provided. The midline catheter includes a shaft defining a lumen, the shaft having a distal end and a proximal end. The distal end includes two or more opposing notches thereon, each of the notches having an open notch distal end and an opposing notch proximal end formed as an arch. The catheter may also include written indicia thereon to indicate that it is a midline catheter and/or is power injectable or non-power-injectable.