A sheath assembly for the insertion of a percutaneous pump includes a tubular sheath body dimensioned for insertion into a blood vessel through a vessel aperture. The tubular sheath body includes a wall having a proximal end portion, a distal end portion, a longitudinal axis, an outer surface, an inner surface defining a first lumen substantially parallel to the longitudinal axis, and a second lumen disposed within the wall between the inner surface and the outer surface and extending from the proximal end portion to the distal end portion. The first lumen is dimensioned to allow passage of a portion of the percutaneous pump, and the second lumen is dimensioned for passage of a guidewire. A stylet is removably positioned to substantially occlude the second lumen. The stylet has a proximal end releasably secured to the sheath assembly.

In some examples, a catheter includes an elongated body including a proximal portion and a distal portion. The elongated body includes an inner liner, an outer jacket, a structural support member positioned between at least a portion of the inner liner and at least a portion of the outer jacket, and an expandable member coupled to the structural support member at the distal portion of the elongated body. The expandable member may be configured to expand radially outward, e.g., to engage a clot within vasculature of a patient.

A balloon catheter includes an outer tube that has an inner surface and an inflation lumen and an inner tube that is disposed within the inflation lumen. The balloon catheter also includes a collar that has a proximal end coupled to a distal end of the outer tube, and a distal end. The collar is coupled to an edge of the distal end or the inner surface of the outer tube. The balloon catheter further includes a luminal space, which is defined by a space between the outer surface of the inner tube and the collar, and a balloon. The balloon has a proximal end coupled to the collar and a distal end coupled to the inner tube.

The designs presented can be for a highly flexible and kink-resistant catheter device for vascular applications. The device can have a more flexible distal section so that the catheter is capable of navigating highly tortuous areas of the anatomy and increasingly stiffer sections towards the more proximal region of the catheter. The device can have tubular polymer segments making up the shaft core and can have one or more helical ribbon segments arranged as coils and extending in a spiral around the outer surface of the tubular segments. The variability in how the ribbon segments are cut and the amount of material left in different regions can control the stiffness changes along the axial length of the catheter. By combining various tubular segments of different durometer beneath the helical segments, another design variable can be used to create transitions and force transmission capabilities not previous possible with less materials.

Catheters, sheaths, or other tubular devices are provided that include a proximal end, a distal end sized for introduction into a patient's body, and a steerable distal portion carrying a plurality of electrodes. The tubular device includes a primary lumen extending between the proximal and distal ends; a steering element lumen adjacent the primary lumen; a plurality of wires extending proximally from the electrodes, and reinforcement members including windings extending helically along at least the distal portion, at least some of the windings passing between the primary and steering element lumens and wires, and at least some of the windings surrounding the primary lumen and one or both of the steering element lumen and the wires. In one embodiment, a steering element is slidably disposed within the auxiliary lumen. Apparatus and methods for making such tubular devices are also provided.

The disclosure generally relates to adjustable sheath devices for insertion into the body to provide intravascular access to various medical devices, involving a dynamically expandable sheath capable of expanding within the blood vessel when a medical device is passed through the sheath and retracting back to almost its original size when the medical device is removed from the sheath. Embodiments generally comprise a rigid collar and an elongated sleeve comprising a continuous elastomeric outer layer and an expandable inner layer.

Catheters, sheaths, or other tubular devices are provided that include a proximal end, a distal end sized for introduction into a patient's body, and a steerable distal portion carrying a plurality of electrodes. The tubular device includes a primary lumen extending between the proximal and distal ends; a steering element lumen adjacent the primary lumen; a plurality of wires extending proximally from the electrodes, and reinforcement members including windings extending helically along at least the distal portion, at least some of the windings passing between the primary and steering element lumens and wires, and at least some of the windings surrounding the primary lumen and one or both of the steering element lumen and the wires. In one embodiment, a steering element is slidably disposed within the auxiliary lumen. Apparatus and methods for making such tubular devices are also provided.

A vascular stent conveying system includes a housing, an outer cannula, a cleaning tube, an inner cannula, and a driving assembly. The outer cannula is located outside the housing and is connected to a first end of the housing. The cleaning tube is connected to a second end of the housing, a first end of the cleaning tube is located in the housing, and a second end of the cleaning tube extends out of the housing. A part of the inner cannula is located in the housing, a first end of the inner cannula extends into the outer cannula, and a second end of the inner cannula extends from the first end of the cleaning tube to a tube chamber of the cleaning tube. A part of the driving assembly is located in the housing, and operably engaged with a part of the inner cannula located in the housing.

A catheter (1) comprising an elongate tubular body (2) having a proximal end (3), a distal end (4), and an inner lumen (5) extending through the elongate tubular body (2), wherein the elongate tubular body (2) comprises a proximal section (6) and a distal section (7), wherein at least the proximal section (6) comprises at least two layers, wherein the proximal end (3) is connected with a catheter hub (8) being an adapter of greater radial outside dimension than the elongate tubular body (2), wherein the catheter hub (8) has an inner lumen (9) of larger inside diameter than the elongate tubular body (2), and wherein the innermost layer (10) of the proximal section (6) extends into the catheter hub (8) and flares from the proximal section (6) to the catheter hub (8). The catheter ensures a smooth transition of a medical device, e.g. a stent to be transferred from a storage device like a sheath into the tubular body of the catheter.

A catheter shaft is produced by forming a first polymeric layer onto a flexible inner core while maintaining the inner core in a solid state, and solidifying the first polymeric layer, wherein the solidified first polymeric layer fails to bond with the inner core and is slidable thereon upon flexion of the shaft. A second polymeric layer may be formed over the first polymeric layer, and is slidable thereon when the shaft bends.