A balloon guide catheter system including a balloon guide catheter having a catheter shaft that includes: (i) a main lumen; (ii) an inflation lumen; and (iii) an exhaust lumen. The terminating distal end of the inflation lumen and the terminating distal end of the exhaust lumen being in localized fluid communication with one another underneath the balloon while in a non-inflated state. A balloon is disposed about a distal region of an outer surface of the catheter shaft. The exhaust lumen is configured to purge the residual air in a proximal direction and out from a proximal region of the balloon guide catheter.

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.

A wall (39) of a catheter (38) (a) includes a braided portion (41) having an outer surface (45), an inner surface (47), and a braided interior (53) between the outer and inner surfaces (45, 47), and (b) is shaped to define first and second longitudinally-running channels (27a, 27b) therethrough. A distal portion of the catheter (38) is shaped to define first and second lateral openings (26a, 26b). An angle between (a) a first line (76) running between the first and second lateral openings (26a, 26b), and (b) a second line (78) that is parallel to a central longitudinal axis of the catheter (38) when the catheter (38) is straight, is between 30 and 150 degrees. A flexible longitudinal member (14) passes from a proximal portion of the catheter (38) to the distal portion via the first channel (27a), out of the first channel (27a) via the first lateral opening (26a), into the second channel (27b) via the second lateral opening (26b), and from the distal portion to the proximal portion via the second channel (27b).

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.

Provided is a treatment method and medical apparatus for preventing an object that becomes a causative agent causing pathogenesis of aspiration pneumonitis from invading a lung The treatment method includes a disposing step of disposing a first instrument, which allows the object that becomes a causative agent of aspiration pneumonitis to move from an esophagus to a stomach and suppresses movement of the object from the stomach to a larynx, in the esophagus and disposing a second instrument, which suppresses the object from invading the lung, in at least the larynx.

The present disclosure is directed to a medical device. Systems and methods are provided for utilizing a laser to break a kidney stones into smaller fragments and/or dust, and removing particles, stone fragments and/or stone dust from a patient. The medical device may include a tube having a distal end and a proximal end, a first lumen extending from the proximal end to the distal end of the tube and in fluid communication with the distal end and a plurality of side ports located at a distal portion of the tube, and a second lumen extending from the proximal end to the distal end of the tube.

A rapid exchange catheter comprises a guide wire lumen including a substantially sealed portion in which a lumen wall extends around an entire periphery thereof and a channel portion including a channel opening the lumen to an exterior of the catheter, wherein a width of the channel is less than a maximum width of the channel portion. A guide wire ramp extends into the channel portion, with the ramp extending further into the lumen of the channel portion as a distal end of the ramp is approached.

A balloon catheter includes a one-piece extrusion having inner and outer tubular walls, where the inner tubular wall defines a wire guide lumen, and a clearance extending between the inner and outer tubular walls forms an inflation lumen. A balloon is attached to the outer tubular wall and to the inner tubular wall, such that the inflation lumen is in fluid communication with the balloon and the wire guide lumen extends through the balloon. A method of making the balloon catheter is also disclosed.

A steerable catheter comprises a transducer that is situated at a flexible distal end, and is coupled to the handle of the catheter via an insertion tube. The flexible distal end is controlled by a plurality of articulation pull-cables that extend from an articulation control device in the handle to the far end of the distal end, such that when one articulation pull-cable is pulled, and the opposing articulation pull-cable is slackened, the flexible distal end bends in the direction of the tensioned articulation pull-cable. To minimize pull-resistance over time, while still providing insertion-tube flexibility, inserts having pull-cable lumens are situated in the insertion tube to isolate each articulation pull-cable from each other, and from other cables that couple the transducer to the handle.