A guide wire includes a long flexible wire main body, and a coil that is formed by winding a plurality of wires in a spiral shape, and which is disposed at an outer periphery of a distal portion of the wire main body to cover the distal portion. The coil includes a coil distal portion that is disposed on a distal side in the distal portion, a coil proximal portion that is disposed on a further proximal side in comparison to the coil distal portion, and a coil intermediate portion that is disposed between the coil distal portion and the coil proximal portion, and includes a wire having a wire diameter that is smaller than a wire diameter of the wires of the coil distal portion and the coil proximal portion.

Devices and methods for recanalization of occluded body vessels using novel guidewires. A novel double-sided guidewire comprises a cross-section tapering from a more rigid middle section towards more flexible head sections. A first head of the guidewire is inserted into the occluded body vessel in a retrograde direction to traverse an occlusion. The guidewire is further advanced in the retrograde direction such that the first head and a portion of the middle section are retrieved from the body, thereby positioning the remainder of the guidewire traversing the occlusion in an antegrade direction and allowing for over the wire recanalization techniques in the antegrade direction.

A catheter includes a proximal shaft and a distal shaft having differing diameters; often, the distal shaft will have a smaller diameter than the proximal shaft. A coupling joins the distal shaft to the proximal shaft. For example, a proximal portion of the distal shaft can be inserted into the coupling through its distal end, while the proximal portion of the coupling can be inserted into the proximal shaft through its distal end. To provide an atraumatic transition from the distal shaft to the proximal shaft, coupling can taper towards its distal end, for example by using a dome- or frustoconical-shape for the distal portion of the coupling. The exterior of the coupling can be ribbed to facilitate bonding to the proximal shaft. The distal shaft can be formed into at least a partial loop having a fixed or variable radius of curvature.

A catheter includes a proximal shaft and a distal shaft having differing diameters; often, the distal shaft will have a smaller diameter than the proximal shaft. A coupling joins the distal shaft to the proximal shaft. For example, a proximal portion of the distal shaft can be inserted into the coupling through its distal end, while the proximal portion of the coupling can be inserted into the proximal shaft through its distal end. To provide an atraumatic transition from the distal shaft to the proximal shaft, coupling can taper towards its distal end, for example by using a dome- or frustoconical-shape for the distal portion of the coupling. The exterior of the coupling can be ribbed to facilitate bonding to the proximal shaft. The distal shaft can be formed into at least a partial loop having a fixed or variable radius of curvature.

The embodiments presented herein relate to concepts designed to eliminate the gap between a catheter and guide wire that can otherwise contribute to a catheter getting stuck within the vasculature.

Disclosed herein are various vascular sheath embodiments for use in the introduction of interventional devices into a blood vessel of a patient. More specifically, disclosed herein are embodiments of a vascular sheath having at least one side access opening and at least one flexible area substantially adjacent to the side access opening.

A guidewire introducable into a bodily lumen having an obstruction therein is provided. An introducer needle is advanced through tissue and into the bodily lumen. A guidewire is advanced through the introducer and into the lumen. The guidewire is advanced further through the lumen until an atraumatic distal tip of the guidewire encounters an obstruction the distal tip cannot pass in a straight forward manner. The distal tip is pressed against the obstruction such that a flexible segment proximal of the distal tip forms a loop distal of the distal tip. The guidewire is advanced further through the lumen such that the loop of the flexible segment is pushed past the obstruction and the distal tip is pulled distally past the obstruction. A greater diameter guidewire extension can be coupled to the back end of the guidewire, providing function as a larger diameter guidewire.

A device and its method of use eliminates or reduces the gap between a catheter and guide wire that can otherwise contribute to a catheter getting stuck within the vasculature. The device is maintained at or near the distal end of the catheter while being advanced through the vessels of a patient. The reduced gap size prevents the catheter from otherwise catching on various structures of a vessel, such as a bifurcation.

A delivery system for an intracorporeal device includes a sheath defining one or more lumens shaped to receive a delivery catheter or shaft and a guidewire. The system may include a delivery shaft having a distal coupling feature adapted to releasably couple with a proximal coupling feature of the intracorporeal device. The delivery system may further include a hub through which the delivery shaft and guidewire are passed. The delivery shaft may be coupled to a feature, such as a knob, that enables manipulation of the delivery shaft to decouple the distal fixation feature from the proximal fixation feature of the intracorporeal device in order to deploy the intracorporeal device within a patient.

Three groups of guidewire embodiments are described with particularly suitable structures for navigating circuitous vessels, especially blood vessels of the brain. Some of the guidewires have a hyperbolic taper that provides desired flexibility. In some embodiments, an integrated guide structure provides for extension in the blood vessel of a corewire to provide for extended reach of the guidewire. In further embodiments, the guidewire has a flexible tip that can be guided directly by the flow in the vessel.