An intravascular catheter for peri-vascular and/or peri-urethral tissue ablation includes multiple needles advanced through supported guide tubes which expand around a central axis to engage the interior surface of the wall of the renal artery or other vessel of a human body allowing the injection an ablative fluid for ablating tissue, and/or nerve fibers in the outer layer or deep to the outer layer of the vessel, or in prostatic tissue. The catheter may also include structures which provide radial and/or lateral support to the guide tubes so that the guide tubes expand uniformly and maintain their position against the interior surface of the vessel wall as the sharpened injection needles are advanced to penetrate into the vessel wall.

A barbed microcatheter includes a hollow tube having an elongated lumen, outwardly projecting barbs, fluid egress openings, a tissue anchor secured to a proximal end of the hollow tube, and a needle secured to the distal end of the hollow tube. The needle is used to form a first tissue opening at the first end of the wound. The hollow tube is pulled through the first tissue opening until the tissue anchor abuts against tissue at the first end of the wound. The needle is used to form a second tissue opening at the second end of the wound. The hollow tube is pulled through the second tissue opening so that barbs engage wound tissue. After cutting away the needle, a therapeutic fluid is introduced into the elongated lumen and passes through the fluid egress openings for infusing the wound with the therapeutic fluid.

Devices, systems, and methods for accessing the internal and external tissues of the heart are disclosed. At least some of the embodiments disclosed herein provide access to the external surface of the heart through the pericardial space for localized delivery of substances to the heart tissue. In addition, various disclosed embodiments provide access to the internal surface of the heart for aspiration and delivery of substances to a targeted region without disturbing or interfering with nearby structures or surfaces.

A catheter system includes: a catheter assembly that includes: an inner needle having a needle tip at a distal end thereof, a hollow needle hub fixed to a proximal end section of the inner needle, a catheter shaft into which the inner needle is inserted, and a catheter hub having the inner needle inserted thereinto, wherein the catheter hub is fixed to a proximal end section of the catheter shaft; and a catheter gripper that is attachable to and detachable from the catheter assembly, wherein the catheter gripper includes: a gripping member, and an attaching/detaching mechanism configured to attach and detach a proximal end section of the needle hub to and from a first end section of the gripping member.

Devices for transferring fluid to or from a subject include an extension tube assembly with an axially extending inner tube configured to couple to an elongate tubular cannula having opposing proximal and distal ends with an axially extending lumen and an axially extending inner tube. The inner tube extending through the tubular cannula defines an exposed needle tip and is in fluid communication with the inner tube of the extension tube assembly. The needle tip extends out of a distal end of the tubular cannula a suitable distance.

Disclosed embodiments relate to devices and related methods for delivering a composition to a subject. In some embodiments, a device may include a catheter coupled to a handle. The handle may include proximal and distal handle portions that are moveable relative to one another to selectively expose a needle at a distal end of the catheter. The proximal handle portion may include a container coupling and a grip extending proximally from the container coupling.

A catheter (10) is provided for relieving compression among blood vessels by introducing a filler into an intravascular space to form a bridge connecting the vessels in order to relieve the compression. The catheter is provided with a shaft (14), expandable elements (16,18) supported by the shaft for reliving compression in the vessel temporarily, and a retractable needle (30) located between the expandable elements. When deployed, such as by using an actuator (40), the needle may deliver the filler to the intervascular space to form a bridge between the vessels for relieving the compression once the catheter is removed.

The invention concerns an instrument, for a medical application, said instrument comprising a body (1), at least one needle, channel means (15) to bring a fluid to said at least one needle, and actuating means (6) for moving said at least one needle from a retracted position to an extended position by rotation of actuating means (6) with respect to the body.

A wall of a catheter (a) includes a braided portion having an outer surface, an inner surface, and a braided interior between the outer and inner surfaces, and (b) is shaped to define first and second longitudinally-running channels therethrough. A distal portion of the catheter is shaped to define first and second lateral openings. An angle between (a) a first line running between the first and second lateral openings, and (b) a second line that is parallel to a central longitudinal axis of the catheter when the catheter is straight, is between 30 and 150 degrees. A flexible longitudinal member passes from a proximal portion of the catheter to the distal portion via the first channel, out of the first channel via the first lateral opening, into the second channel via the second lateral opening, and from the distal portion to the proximal portion via the second channel.

Described herein are devices, systems and methods for treating disease and/or infection by the release of silver from an implant over an extended period of time. In particular, the devices described herein may be used to treat infections such as osteomyelitis by the controlled release of silver ions from multiple sites of an extended-use implant. This implant typically includes a plurality of arms that both anchor and help distribute the released ions within the tissue. Power may be applied to release the silver ions into the tissue.