A guidewire-guiding device, and guidewire-guiding assembly. The device comprises a main guidewire channel and guidewire-guiding channels are respectively arranged in the guiding body. The main guidewire channel and the guidewire-guiding channels respectively pass through the guiding body along axial direction, and in-vivo end openings of the guidewire-guiding channels and the in-vivo end opening of the main guidewire channel are arranged along the axial direction at intervals. The guiding body may be imbedded into a vessel in-vivo via the main guidewire penetrating through the main guidewire channel, and as the in-vivo end openings of the guidewire-guiding channels are arranged along the axial direction at intervals, the to-be-guided guidewires enter the guidewire-guiding channels while being staggered to the main guidewire on the axial direction, therefore the problem of tanglement of the main guidewire the branch guidewires and other kinds of guidewires may be avoided.

Articles, such as catheters, comprising markings and associated methods are generally provided. The articles described herein may be configured to be exhibit one or more desirable properties. For instance, in some embodiments, an article comprises markings that are spaced from each other at known distances. Such markings may be employed to aid users of the article in measuring distances. As another example, an article may be configured to swell upon exposure to the fluid such that markings positioned thereon do not crack or delaminate. It is also possible for the article to be configured to swell upon exposure to the fluid in a known, predictable, and/or uniform manner. This swelling may cause the spacings between the markings to increase, and such increase may also be in a known, predictable, and/or uniform manner. When the fluid causing the article to swell is a bodily fluid, such as a fluid the article would be exposed to upon implantation into a patient, and the article swells such that the markings have a known spacing in the patient, the markings may advantageously be employed to measure distances in the patient and/or the change in marking spacing may be employed to determine the swelling of the article in the patient.

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.

Disclosed is a dilating incision device, which relates to a surgical tool and includes an outer shell, a dilating element and an incision assembly. The dilating element that is arranged at one end of the outer shell and communicated with the inside of the outer shell is used to drill into and expand a stenosis segment of the pancreatic or biliary duct or a puncture path between lumens of the digestive tract. A sliding groove is formed in a side wall of the outer shell, by which the inner cavity of the outer shell is communicated with the outside. The incision assembly includes an incision knife arranged in the outer shell and a sliding handle housing the outer shell. An intercommunicating hole is formed in one end of the dilating element, by which the inner cavity of the dilating element is communicated. with the outside.

A method for inserting a catheter assembly into a vessel using a storage case in which an outer pipe body and an inner pipe body which accommodate a guiding catheter and an inner catheter are connected to each other includes: pulling out the inner catheter from the inner pipe body, inserting the inner catheter into a proximal opening portion of the guiding catheter, causing a locking rotation portion of the inner catheter to rotate and be connected to a locking projection portion of the guiding catheter, assembling the guiding catheter and the pulled-out inner catheter, pulling-out, from the outer pipe body, the guiding catheter which is in a state where the inner catheter is assembled, taking out, from the storage case, a catheter assembly assembled by the guiding catheter and the pulled-out inner catheter, and inserting the catheter assembly into a vessel.

The present invention concerns to a method, a percutaneous access path providing device and a kit of instruments for the treatment of fractured vertebrae, in particular for treating spinal compression fractures in humans. In particular the invention concerns to a percutaneous access path providing device comprising a vertebra access cannula and a vertebra introducer stylet, wherein the vertebra introducer stylet has a tip.

An apparatus for harvesting a subcutaneous blood vessel is disclosed. The apparatus comprises a guidewire with an angled tip, an intra-vascular catheter to receive the guidewire and having a lateral orifice to allow the angled tip thereof to perforate the subcutaneous blood vessel. The apparatus further comprises a flexible pulling device having a pair of circumferential grooves, one adjacent to each end thereof, to allow for securing the subcutaneous blood vessel thereat; and a flexible pushing device having a concave-cup shape at a distal end thereof to facilitate pushing of the subcutaneous blood vessel secured with one of the pair of circumferential grooves of the flexible pulling device. The flexible pulling device and the flexible pushing device are operable in conjunction to cause inversion and eversion and separation from the surrounding tissues of the subcutaneous blood vessel for removal and harvesting thereof.

Apparatus comprising: a sleeve adapted to be slid over the exterior of an endoscope; a proximal balloon secured to the sleeve; an inflation/deflation tube carried by the sleeve and in fluid communication with the interior of the proximal balloon; a push tube slidably mounted to the sleeve; and a distal balloon secured to the distal end of the push tube, the interior of the distal balloon being in fluid communication with the push tube, wherein the distal balloon is capable of assuming a deflated condition and an inflated condition, and further wherein when the distal balloon is in its deflated condition, an axial opening extends therethrough, the axial opening being sized to receive the endoscope therein, and when the distal balloon is in its inflated condition, the axial opening is closed down.

A micropuncture kit for direct access of a surgically exposed vessel using direct visual guidance includes a micropuncture access needle having a proximal hub coupled to an elongate shaft defining an inner lumen and a visible depth indicator positioned on the elongate shaft a distance away from a distal tip of the elongate shaft. The kit includes an access guidewire sized to be received through the inner lumen of the micropuncture access needle and a microaccess cannula having an elongate body defining an inner lumen and a plurality of visible depth indicators formed on the elongate body. The guidewire includes a distal tip and at least one visible depth indicator positioned on the access guidewire a distance away from the distal tip of the guidewire. Each of the plurality of visible depth indicators identifies a distance from a distal tip of the cannula. Related systems, devices and methods are provided.

Methods, devices, and systems establish and facilitate retrograde or reverse flow blood circulation in the region of the carotid artery bifurcation in order to limit or prevent the release of emboli into the cerebral vasculature such as into the internal carotid artery. The methods are particularly useful for interventional procedures, such as stenting and angioplasty, atherectomy performed through a transcarotid approach or transfemoral into the common carotid artery, either using an open surgical technique or using a percutaneous technique, such as a modified Seldinger technique or a micropuncture technique.