A system may comprise a first catheter having a first steerable segment and a second catheter disposed within the first catheter. The second catheter may have a second steerable segment. The system may also comprise an imaging element supported at a distal end of the second catheter, a coil reference sensor supported at a distal portion of the second catheter, and a processor in electrical communication with the coil reference sensor. The processor may be configured to determine a position of a distal portion of the first catheter with reference to the coil reference sensor.

A catheter that fits within a blood vessel wall includes electrodes aligned along a longitudinal axis of the catheter that produce unfocused shock waves that propagate radially toward the blood vessel wall for treatment.

A tissue traction device, system, and method presenting a grasping rail for coupling with a portion of a target tissue at a treatment site to apply a force, such as traction, to the grasped tissue, such as to facilitate performance of a procedure on the target tissue. A tissue traction device, system, and method having a distal support element, a proximal support element, and at least one expansion element extending therebetween. The at least one expansion element is extendable to define a working area for a procedure to be formed on target tissue at a treatment site. Two or more expansion elements may define a working area unimpeded by the expansion elements. The distal support element may be expandable to anchor the tissue traction device with respect to tissue.

A device is disclosed for occluding an anatomical passage between first and second anatomical structures. The device includes a tip portion having a proximal element connected to a distal element through a member. The proximal element and/or distal element is movable axially along the tip portion while the other element preferably remains fixed in place. A handle is coupled to a proximal end of the tip portion through a shaft. The tip portion is positioned across the anatomical passage so that the proximal element occludes a first side of the passage and the distal element occludes a second side of the passage. A locking structure, such as a nut, is positioned or crimped against the proximal element, and, once done, the tip portion is released at the occluded passage.

Devices, systems and methods for treating diseases and disorders effecting the cardiovascular system of the human body are disclosed. An exemplary device in accordance with this disclosure comprises a shaft, tip member fixed to the shaft, and a probe extending beyond a distal surface of the tip member. In some useful embodiments, the tip member is relatively atraumatic and the probe is shaped so as to be more likely to produce trauma than the tip member.

An aspiration system includes an aspiration catheter including a tubular aspiration member having a proximal end, a distal end, and a lumen, and configured to at least partially extend out of the lumen of an elongate tubular member and into the vasculature of a subject, an elongate support member coupled to the tubular aspiration member and extending between the proximal end of the aspiration catheter and the proximal end of the tubular aspiration member, a high pressure injection lumen extending within the elongate support member and having a distal end including a curved portion configured to change a direction of fluid flow by at least about 90°, at least one orifice located at the distal end of the high pressure injection lumen configured to allow liquid to be released into the lumen of the tubular aspiration member, and an annular seal carried by the tubular aspiration member and configured to create a liquid seal against the inner surface of the elongate tubular member.

An ultrasonic thrombus removing system includes a front sheath tube (1) and a rear sheath tube (5) that are independent and that are inserted into a blood vessel (2); a rear end outer portion of the front sheath tube (1) is mounted with a front blocking balloon (105), and a front end outer portion of the rear sheath tube (5) is mounted with a rear blocking balloon (504); a breaking cavity (4) being formed between the two blocking balloons; the front blocking balloon (105) and the rear blocking balloon (504) expand or contract in the blood vessel (2) by means of the squeezing or loosening of an external force so as to block or open front and rear sides of the thrombus (3); an inner portion of the rear sheath tube (5) is provided with a core tube (502) that co-axially penetrates therethrough, a front end of the core tube (502).

In various embodiments, the present specification discloses an aspiration catheter that has a slim profile, can effectively anchor or self-center in a location, within a patient's vessel lumen, to better provide directed suction or vacuum/negative pressure, and/or can effectively funnel or direct suction or vacuum/negative pressure toward an occlusion or obstruction within the patient's vessel lumen.

The present specification is directed towards catheter devices having expandable and collapsible lumens. Air or fluid is pumped into the catheter wall to cause it to expand. Alternatively, wires are embedded within the wall and a direction of flow of electrical current through the wires is modulated to enable the catheter device to be in the collapsed or expanded state. For example, a first wire is embedded within the wall and is helically wound along a length of the catheter device. A second wire is provided that can be removably positioned within the lumen. The direction of flow of electric current through the first and second wires is modulated to enable the catheter device to be in the collapsed or expanded state.

A valve system for a catheter, such as an aspiration catheter, is disclosed and includes a valve having a proximal end and a distal end. The distal end of the valve is coupled to the catheter. The valve has a flexible lumen in a first state that is constricted or twisted. The valve system is housed within a hub, where actuation of a button on the hub causes the proximal and distal ends of the valve to rotate relative to each other to put the lumen in a second state that is unconstricted or untwisted state.