A medical manipulator includes: an end effector provided at a distal side of the medical manipulator; a proximal housing provided at a proximal side of the medical manipulator; and an elongated portion coupled to both the end effector and the proximal end. The elongated portion includes: a first elongated member coupled to both the end effector and the proximal housing; a second elongated member coupled to only either one of the end effector and the proximal housing, the second elongated member being configured to form by surrounding the first elongated member; and to be slidable in a longitudinal direction relative to the first elongated member; and a third elongated member coupled to both the end effector and the proximal housing, the third elongated member being configured to form an exterior of the elongated portion by surrounding the second elongated member.

An introducer sheath assembly having a handle portion including a distal end and a proximal end, and an introducer sheath extending outwardly from the distal end of the handle portion, the introducer sheath including a device lumen configured to slidably receive a corresponding device, a guidewire lumen configured to slidably receive a corresponding guidewire, and at least one steering cable disposed within at least one steering cable lumens that are disposed radially outwardly from the device lumen, and the handle portion including at least one steering assembly for modifying the tension of at least one of the at least one steering cables.

The present invention is a self-cleaning catheter designed to impede the development of biofilm within the catheter and provide a mechanism for removing biofilm within the catheter during use by a patient. The self-cleaning catheter includes an outer shell enclosing a urine lumen. The urine lumen has the ability to be opened and closed with a urine lumen closure device and is formed with a plurality of micro ports and a plurality of macro wash ports. At least one antimicrobial lumen is affixed to the exterior of and in fluid communication with the urine lumen at the plurality of micro ports. Similarly, at least one wash lumen is affixed to the exterior of and in fluid communication with the urine lumen at the plurality of macro wash ports. Antimicrobial solutions and wash solutions are introduced into the urine lumen by the antimicrobial lumen and wash lumen respectively, even during use.

An elongate medical device comprising a first lumen, wherein a cross-sectional shape of the first lumen comprises a peanut shape, and a plurality of second lumens, wherein the plurality of second lumens are proximate the first lumen, wherein the first lumen comprises a lumen liner that conforms to the cross-sectional shape of the first lumen, wherein the lumen liner comprises a first material and the elongate medical device comprises a second material, where the first material is different from the second material.

The invention comprises an indwelling medical device which is capable of delivering a therapeutic agent evenly along the length of the indwelling portion, including the outer wall, of the device.

The described invention provides endovascular devices that share the following general features: a working segment, a support segment, a working lumen, a support lumen, a side hole, and an angled extension. A described endovascular device includes an outer support catheter and an inner catheter with a side hole optionally containing an angled extension disposed at least partially within the lumen defined by the outer support catheter. The inner catheter can be connected to sets of grips on the outer catheter and the inner catheter, which are used by the operator to rotate one catheter relative to the other so as to position the side hole or the angled extension of the inner catheter in the targeted vessel. A radiopaque marker or intravascular ultrasound can be used to identify the position of the distal side hole in vivo. In some devices, the distal segment beyond the side hole (the support segment) for each of the described devices is effective to provide stability to each endovascular device, to provide strength to the endovascular device, to provide support for the endovascular device, to facilitate placement of the endovascular device, to anchor the endovascular device within a blood vessel, to reduce kickback of the endovascular device, or a combination thereof. The endovascular devices described can include additional support elements, for example, a balloon, a stent, a wire, or a combination thereof. The described selectively inflatable balloon is of two dimensions, a diameter and a length, sized to fit within the diameter of a vessel, for positioning the endovascular device. It may be disposed in a circumferential array of selectively inflatable balloons, as a single distal inflatable balloon or both. The circumferential array of selectively inflatable balloons is effective to position the endovascular device within a target blood vessel. The single distal balloon is effective to anchor the endovascular device within a target blood vessel. Each inflatable balloon can be selectively filled with a fluid, e.g., sterile water and saline.

The present invention discloses a steering device for use in a body lumen of a patient. The steering device comprises a flexible tube; a plurality of spaced-apart elements positioned along at least a portion of the tube; wherein the plurality of spaced-apart elements and the tube form a single integrated unit; and at least two steering wires having at least a portion passing through the spaced-apart elements and at least a portion passing within the tube. According to another broad aspect of the present invention, there is provided a steering device for use in a body lumen of a patient, comprising: a flexible tube; at least two steering wires having at least a portion passing within the flexible tube; at least two spring-like sleeves; each spring-like sleeve at least partially enclosing a steering wire respectively; wherein the spring-like sleeve has a variable pitch along its length; such that the flexible tube comprises at least two portions having different bending properties.

Methods for cerebral cooling are described. Cooling assemblies include elongate tubular members, a reservoir containing a pressurized fluid, and a manifold connecting the reservoir and elongate tubular members. After insertion of the elongate tubular members into the patient's nostrils, a pressurized fluid is delivered onto a surface of the patient's nasal cavity through a plurality of ports in the elongate tubular members. The delivery of the fluid causes cooling by direct heat transfer through the nasopharynx and hematogenous cooling through the carotids and the Circle of Willis.

A catheter allowing injection or aspiration of fluid at any desired position along an entire circumference of the catheter. The catheter may include a first hollow body having an inner lumen, and a second hollow body covering an outer periphery of the first hollow body and having an outside lumen between the first hollow body and the second hollow body. The outside lumen is divided by partition walls connected to the first hollow body and the second hollow body to form a plurality of outer lumens. On an outer periphery of the second hollow body, holes are formed for the respective outer lumens along a circumferential direction of the second hollow body. Alternatively, the catheter may include a plurality of tubes disposed on an outer periphery of the hollow body, and may include a hole formed in each of the tubes along a circumferential direction of the hollow body.

The present disclosure concerns embodiments of multi-lumen cannulae that can be used in various different medical procedures. The multi-lumen cannulae can comprise an elongated body comprising multiple different ports that connect to the various different sidewall lumens contained within the elongated body. The multi-lumen cannulae can also comprise a central lumen that extends through the entire elongated body and can be fluidly connected to the various different sidewall lumens. The multi-lumen cannulae can further comprise two balloons on the exterior of the elongated body, which can be used to isolate the right atrium of a patient's heart.