The present disclosure relates to a method and a device for treating heart failure by normalizing elevated blood pressure in the left and right atria of a heart of a mammal. The present disclosure includes methods for creating and maintaining an opening in the atrial septum. Tools for making an opening and enlarging the opening are also disclosed. Use of the techniques and tools described herein prolongs the patency of an intra-atrial pressure relief opening.

The utility model discloses a urinary catheter for women and peristaltic pump, which comprises a body tube with an inner surface and an outer surface, and further comprises an external urethral orifice fixing part which can at least sleeve the catheter tip end inside when applied, a flexible urethral guide part, a urinary catheter driving part sleeved with the cylindrical body of the external urethral orifice fixing part, a hydrophobic part for leakage stop at the urinary outlet of the urinary catheter, a thin segment, a pump tube, a tube bed and other special structures for dilating the narrowed part of the urethra, which not only eliminate the defect of the traditional “non-guided suspended placement” in a safe mode of “US-guided adjacent placement” and completely avoid contamination of the urinary catheter by the periurethral tissue, but also avoid the injury of urethral intima caused by urethral stricture in the placement procedure to the greatest extent; avoid contamination of the urinary catheter outlet by urine outflow; effectively clear the blockage of urine inlet due to blood clots and tissue masses in bladder during indwelling, and can also minimize the residual urine volume when used in conjunction with a special peristaltic pump.

A clot retrieval device comprising an elongate shaft having a proximal end and a distal end and a clot retrieval element at the distal end of the elongate shaft. A proximal end of the elongate shaft configured to retract a first catheter over the elongate shaft. The shaft extension member comprising one or more raised profiles configured to interfere with one or more indentations along the elongate shaft such that the shaft extension member is configured to extend between a first length and an intermediate length. A second catheter is advanced to or adjacent to the distal end of the clot retrieval device shaft to enable enhanced aspiration adjacent to the clot retrieval element.

Examples of an expandable sheath can be used in conjunction with a catheter assembly to introduce a prosthetic device, such as a heart valve, into a patient. Such examples can minimize trauma to the vessel by allowing for temporary expansion of a portion of the introducer sheath to accommodate the delivery apparatus, followed by a return to the original diameter once the prosthetic device passes through. Some examples can include a sheath with inner and outer layers, where a folded portion of the inner layer extends through a slit in the outer layer and a portion of the outer layer overlaps the folded portion of the inner layer. Some examples include an elastic outer cover positioned outside the outer layer. Examples of the present expandable sheath can avoid the need for multiple insertions for the dilation of the vessel, thus offering advantages over prior art introducer sheaths.

A urethral catheter. A cavity is formed at the head end of the urethral catheter, and an internal span of the cavity is greater than that of an opening. A check device (2) located at the front end of a guide core (5) is received in the cavity, and the check device (2) is a guide core (5) that can be retracted into a guide core catheter (4) and can move within the guide core catheter (4). The guide core (5) can expand outward after moving out of the guide core catheter (4). The span of the top of the expanded guide core (5) is greater than the outer diameter of the opening of the cavity at the head end of the urethral catheter. The urethral catheter eliminates a guide extension inserted inside the urethral catheter, and avoids any structural parts provided in the front end of the urethral catheter, and no accessory device is provided at the inner side of the catheter wall of the conventional urethral catheter, so that the internal urination cross-sectional area of the urethral catheter is the same as the area of the inner holes of the urethral catheter, thereby greatly increasing the urine output of the urethral catheter and greatly reducing the injection resistance of a lubricant.

Rapidly insertable central catheters (“RICCs”), RICC insertion assemblies, and methods are disclosed. For example, a RICC insertion assembly can include a RICC, an introducer, and an access guidewire. An introducer needle can include a needle shaft having a longitudinal gap extending from a proximal portion of the needle shaft through a needle tip. An introducer sheath can include a splittable sheath hub coupled to a splittable sheath body. The introducer sheath can be disposed over the introducer needle with the sheath body sealing the needle shaft for drawing a vacuum through the introducer needle. The access guidewire can extend along an entirety of a primary lumen of the RICC, through a splittable valved port of the sheath hub, along a sheath body-covered needle channel of the needle shaft, and to a location in the introducer proximal of the needle tip in a ready-to-operate state of the RICC insertion assembly.

Disclosed are a puncture sealing device and methods of locating a puncture site within a vessel. The systems can include elongated dilators and access sheaths that are configured to locate the puncture site within a vessel so that the position of the puncture site relative to a distal end of the access sheath is known during a puncture sealing procedure.

An apparatus includes a catheter, an introducer, and an actuator. A distal end portion of the introducer is configured to couple to an indwelling peripheral intravenous line. The actuator is movably coupled to the introducer and is configured to move the catheter between a first position, in which the catheter is disposed within the introducer, and a second position, in which a distal end portion of the catheter is distal to the introducer. A first portion of the actuator is disposed outside of the introducer and in contact with an outer surface of the introducer such that (1) a longitudinal axis defined by a second portion of the actuator is nonparallel to a longitudinal axis defined by the introducer and (2) the second portion of the actuator exerts a force on a proximal end portion of the catheter operable to increase an internal stress with in a portion of the catheter.

An implant delivery system includes a catheter, an implant, and a push body. The catheter extends from a first proximal end to a first distal end. The catheter defines an inner lumen extending through the first distal end. The implant includes a second proximal, a second distal end, and a plurality of resilient barbs. The implant is slidably housed within the inner lumen. The implant is compressed in the inner lumen such that the implant bears against an inner diameter of the inner lumen and the implant is retained within the inner lumen by friction. The push body is slidably housed within the inner lumen of the catheter. The push body is adjacent to the second proximal end of the implant.

Embodiments of the disclosed technology provide flow diverting devices for dialysis vascular access, and methods for use therewith. According to some embodiments of the disclosed technologies, a medical device comprises: a tubular vascular stent; and a flow restrictor disposed within the tubular vascular stent. According to some embodiments of the disclosed technologies, a method comprises: providing a medical device, the medical device comprising: a tubular vascular stent, and a flow restrictor disposed within the tubular vascular stent; and deploying the medical device at a site within a vascular access of a patient. According to some embodiments of the disclosed technologies, a medical device comprises: a tubular vascular stent; one or more anchor struts formed on at least one end of the tubular stent; a flow restrictor disposed within the tubular vascular stent; and a tubular stent cover, wherein the vascular stent is disposed within the tubular stent cover.