A catheterization apparatus includes a catheter having a steering mechanism for deflecting a distal portion of the catheter by operation of relative bending stiffnesses of a drive tube and of a core wire. The catheter is remotely controlled from a control station via a rotatable actuation device which supports actuators for providing translation and rotation motions. The catheter is looped and rigidly guided in a channel controlling a distal length of the catheter.

The present disclosure relates to guidewire devices having shapeable tips and effective torquability. A guidewire device includes a core having a proximal section and a tapered distal section. A tube structure is coupled to the core such that the tapered distal section extends into the tube structure. The tube structure includes a plurality of bypass cuts formed tangentially within the tube structure to increase the flexibility of the tube structure and to reduce the tendency of resilient forces from the tube structure to disrupt a shaped distal tip of the guidewire device.

A looped wire is provided for placing an endograft into a blood vessel. The looped wire comprising a flexible guidewire with one or more loops distributed along its length. The one or more loops have an inner diameter that is larger than the thickness of a suture or wire for threading the suture or wire through. The one or more loops is adapted for sliding along the suture or wire. Endograft system comprising the looped wire, and methods of using the looped wire are also provided.

A kink-resistance catheter has at least a first pair of core wires residing in the catheter body on opposed side of a catheter lumen. The core wires have relatively stiff proximal ends but taper toward their distal ends. The tapered construction provides the core wires with a degree of distal flexibility that helps the catheter advance along a vasculature to a site of interest without kinking. Moreover, the core wires greatly improve the torsional rigidity of the catheter so that rotation of the catheter's proximal end translates into a substantially equivalent rotation at the distal end. If desired, shaping ribbons are provided in the catheter body adjacent to the distal ends of the core wires. The shaping ribbons can be pre-bent before a surgical procedure to help the physician advance the catheter along the vasculature. Finally, the core wires provide the ability to push the catheter through the vasculature without the need for the catheter to go over a guidewire already in-situ in the vasculature.

Polymeric tubing, for use with catheters or other medical devices, where the polymeric tubing can have regions of customized properties including, but not limited to, durometer, torque control, flexibility, axial strength, stiffness, etc. One variation of the device allows for transitions between regions to be configured such that there can be gradual or customized transitions between various regions such that the structural characteristics differential between the regions selectively designed. Additional variations include outer layers having a plurality of material sections extending in a spiral direction along the axial length to form a continuous wall of the outer layer. In certain variations, the structural characteristic differential is minimized or eliminated as compared to conventional catheters.

The present disclosure relates to vascular devices such as guidewires and microcatheters having integrated coil sections for optimizing torquability, flexibility, and ability to shape and maintain the distal tip. A guidewire device includes a core and a tube structure coupled to the core such that at least a portion of the core passes into the tube structure. A distal section of the tube structure includes a spiral cut arrangement that configures the distal section as an integral coil integrally incorporated as part of the tube structure. The integrated coil configuration increases the flexibility of the tube structure to reduce the tendency of resilient forces from the tube structure to disrupt a shaped distal tip of the guidewire device.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing an intravascular device having a distal portion with a lumen extending therein; inserting the device into the vascular lumen; positioning the distal portion in the vascular wall; and directing the distal portion within the vascular wall.

A catheter assembly includes: a catheter comprising a distal end portion, and a body portion that is continuous with a proximal end of the distal end portion and extends along an axial direction; a hollow inner needle that has a needle tip and is removably inserted into the catheter; and a guide wire that is inserted into the inner needle so as to be movable back and forth and that is deliverable from the needle tip. The distal end portion of the catheter comprises a constituent portion that is harder than, has a higher lubricity than, or has a higher elasticity than the body portion at at least a part of a surface of the distal end portion.

Polymeric tubing, for use with catheters or other medical devices, where the polymeric tubing can have regions of customized properties including, but not limited to, durometer, torque control, flexibility, axial strength, stiffness, etc. One variation of the device allows for transitions between regions to be configured such that there can be gradual or customized transitions between various regions such that the structural characteristics differential between the regions selectively designed. Additional variations include outer layers having a plurality of material sections extending in a spiral direction along the axial length to form a continuous wall of the outer layer. In certain variations, the structural characteristic differential is minimized or eliminated as compared to conventional catheters.

Remote access, soft tissue tunneling dilators are used for the placement of central venous catheters of varying sizes into one or more jugular veins, for forming pathways of varying sizes through subcutaneous soft tissue, or for enlarging internal renal access pathways of varying sizes to accommodate access by urological instruments. Dilators comprise a tapered body extending from a proximal end to a distal tip, where both an outer diameter and a material hardness of the tapered body gradually increase distally-to-proximally from the distal tip toward the proximal end of the tapered body. The tapered body may include a plurality of visual indicators disposed upon the body at one or both of a plurality of distally-to-proximally increasing length increments and a plurality of distally-to-proximally increasing diameter increments. Other embodiments are also disclosed.