A vascular access system includes a catheter adapter having a body and a primary catheter configured to be inserted into a patient’s vasculature, with the body having a first end and a second end positioned opposite the first end, a primary lumen in fluid communication with the primary catheter, a primary lumen port in fluid communication with the primary lumen, a secondary lumen in fluid communication with the primary catheter, a secondary lumen port in fluid communication with the secondary lumen, and a mid-line lumen at least partially received within the secondary lumen. The mid-line lumen having a retracted position where a distal end of the mid-line lumen is positioned within at least one of the primary catheter and the secondary lumen, and an extended position where the distal end of the mid-line lumen extends beyond the distal end of the primary catheter.

A catheter may include an elongate body extending from a proximal end to a distal end and defining a lumen; a push member mechanically coupled to the proximal end of the elongate body; and a slidable push grip disposed about an outer perimeter of the push member. The slidable push grip is controllably engageable with the push member. When the slidable push grip is in an engaged state with the push member, the slidable push grip transmits an axial force to the push member to enable the push member to transmit the axial force to the elongate body. When the slidable push grip is in a disengaged state with the push member, the slidable push grip is movable axially in at least one direction along a length of the push member while transmitting substantially no axial force to the push member.

An implantable medical device is provided for controlled drug delivery within the bladder, or other body vesicle. The device may include at least one drug reservoir component comprising a drug; and a vesicle retention frame which comprises an elastic wire having a first end, an opposing second end, and an intermediate region therebetween, wherein the drug reservoir component is attached to the intermediate region of the vesicle retention frame. The retention frame prevents accidental voiding of the device from the bladder, and it preferably has a spring constant selected for the device to effectively stay in the bladder during urination while minimizing the irritation of the bladder.

Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a guide extension catheter. The guide extension catheter may include a proximal member having a proximal end, a distal end, and a proximal diameter. The guide extension catheter may additionally include a collar member attached to the distal end of the proximal member, the collar member comprising a base portion and one or more ribs connected to the base portion and extending distally away from the base portion. In still some additional embodiments, the guide extension catheter may further include a distal sheath member attached to the collar member, the distal sheath member having a distal diameter larger than the proximal diameter.

Steerable, elongated medical devices that are inserted into a patient's body are disclosed. The devices include first and second wires slidably extending longitudinally through a wall of a tube and attached adjacent a distal end of the tube. The devices also include a tension control member configured to selectively apply a tension force to the wires to bend the tube.

A system and method include operation of a device coupled to a base to hold a catheter to the base, the catheter defining a lumen in which a portion of an elongated medical device is disposed, and a portion of the catheter being disposed in a hemostasis valve, movement of the base relative to the hemostasis valve along a first path while the catheter is held to the base such that the catheter moves relative to the hemostasis valve, and operation of a mechanism coupled to the base to maintain a position of the elongated medical device within the lumen relative to the hemostasis valve while the base and the mechanism are moved along the first path and the catheter is held to the base.

A protective sleeve for a urinary catheter includes a sleeve configured to extend over an outer surface of the urinary catheter shaft from a proximal insertion end of the catheter shaft to a distal end of the catheter shaft. The protective sleeve includes a protective sleeve tip defining the proximal end portion of the sleeve. The sleeve and the protective sleeve tip are of a single unitary construction and the sleeve and protective sleeve tip are formed of the same thin, flexible film. The protective sleeve tips has a first pre-use configuration when a proximal insertion end of the catheter is not within the protective sleeve tip wherein the protective sleeve tip is in a collapsed state, and a second configuration when a proximal insertion end of a urinary catheter is inserted into the protective sleeve tip, in the second configuration the protective sleeve tip being in an extended state that is configured to cover the proximal insertion end of the urinary catheter shaft and the thin, flexible film conforms to and is supported by the proximal insertion end of the urinary catheter for insertion of the protective sleeve tip into the urethral opening.

A guidewire introducible into a bodily lumen having an obstruction therein is provided. An introducer needle is advanced through tissue and into the bodily lumen. A guidewire is advanced through the introducer and into the lumen. The guidewire is advanced further through the lumen until an atraumatic distal tip of the guidewire encounters an obstruction the distal tip cannot pass in a straight forward manner. The distal tip is pressed against the obstruction such that a flexible segment proximal of the distal tip forms a loop distal of the distal tip. The guidewire is advanced further through the lumen such that the loop of the flexible segment is pushed past the obstruction and the distal tip is pulled distally past the obstruction. A greater diameter guidewire extension can be coupled to the back end of the guidewire, providing function as a larger diameter guidewire.

An enhanced flexibility catheter is provided, such as for distal neurovascular access or aspiration. The catheter includes an elongate flexible body, having a proximal end, a distal end, and a side wall defining a central lumen. The side wall is formed from a plurality of adjacent tubular segments. At least one segment has a first end face inclined at a non normal angle to a longitudinal axis of the catheter. An adjacent segment has a second end face inclined at a complementary angle to form an inclined junction at the transition between the two segments. The transition serves to provide superior bending characteristics along the length of the catheter shaft.

A steerable catheter system may include a flexible elongate catheter body, a drive mechanism at the proximal end of the catheter body, and at least one group of pullwires extending along a length of the catheter body. The catheter body may include a distal articulating section and a proximal non-articulating section. Each group of pullwires includes at least two pullwires, and each of the pullwires is anchored at a first end to the distal end of the catheter body and at a second end to the drive mechanism. The pullwires of each group are positioned close to one another in the catheter wall to concentrate the forces and cause deflection along the articulating section of the catheter body and diverge away from one another to reach a more separated distribution around a circumference of the catheter body to distribute the forces and prevent deflection along the non-articulating section.