Medical instruments such as catheter systems and endoscopic systems that exhibit reduced backlash during their operation are disclosed. The reduction of backlash avoids the use of protrusions or fins that can significantly obstruct fluid flow through working channels of the instruments. According to one embodiment, a medical instrument comprises a first member having an inside surface defining a first lumen and a second member extending in the first lumen and having an outside surface cooperating with the inner surface of the first member to define an intermediate longitudinal passage therebetween. One of the inside surface of the first member and the outside surface of the second member is permanently formed to have a sinuous shape defining predisposed locations for contacting the other one of the inner surface of the first member and the outer surface of the second member to reduce backlash during relative longitudinal movement.

A delivery device can be provided with a low outer profile and high flexibility for navigating tortuous anatomy. An inner lumen defined by a shaft of the delivery device provides adequate space for delivery devices to target anatomy. Additionally, the delivery device maintains the patency of its lumen even when positioned within tortuous anatomy. The turns of filar(s) forming a coil of the shaft adjust their axial spacing relative to each other to avoiding buckling that would otherwise result in a narrowing of the inner lumen.

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.

The invention refers to endovascular catheters and methods useful to endovascular surgery. In particular, it refers to support catheters with balloons that are used for the placement or the forwarding of the guidewire through demanding tortuosity and important vascular stenoses in cases where the guidewire needs the best possible backup support of the catheter. This is achieved with the development of an endovascular support catheter (1) with a mobile balloon (22), which has the ability to move along the body of the catheter (2), at its distal part. The movement of the balloon (22) is achieved with the use of two mobile external rings (13) and (18), one inner wire circuit (23), (24), and one control handle (13) (17) which is found at the proximal end of the device (1). The mobile balloon allows the catheter to move inside the vessel even when it is inflated and basically anchored within the vessel.

A closed-system urinary catheter with a low viscosity gel lubrication is disclosed. The system has an uncoated catheter, but a hydrophilic coated catheter could be used. The low viscosity lubricating gel within the sachet uniformly coats the catheter when the sachet is ruptured just prior to use. A low viscosity lubrication gel could alternatively be place in the area inside the sheath and external to the catheter. Therefore, the variability that occurs with a hydrophilic catheter or the areas of a non-lubricated catheter with the higher viscosity gel catheters is avoided.

An apparatus and methods for tissue restoration are provided. The apparatus may include a catheter shaft extending from a proximal end to a distal tip, the catheter shaft defining lumens including an inflation lumen and a light fiber lumen, a coated balloon positioned on a translucent distal segment of the catheter shaft proximal to the distal tip in fluid communication with the inflation lumen, the coated distal balloon comprising a translucent material and a coated material on an outer surface of the coated balloon, and a light fiber positioned in the catheter shaft in the light fiber lumen and extending through the translucent distal segment.

A covered catheter, including a catheter body coated with a lubricant to facilitate entry into tissue of a user, and a covering sheath, including a sheath body to cover at least a portion of the catheter body in an extended position, and expose the catheter body in a retracted position, a first end cap disposed on at least a portion of a first end of the sheath body to enclose the first end of the sheath body, and a second end cap disposed on at least a portion of a second end of the sheath body to enclose the second end of the sheath body.

An apparatus and methods for tissue restoration are provided. The apparatus may include a catheter shaft extending from a proximal end to a distal tip, the catheter shaft defining lumens including an inflation lumen and a light fiber lumen, a coated balloon positioned on a translucent distal segment of the catheter shaft proximal to the distal tip in fluid communication with the inflation lumen, the coated distal balloon comprising a translucent material and a coated material on an outer surface of the coated balloon, and a light fiber positioned in the catheter shaft in the light fiber lumen and extending through the translucent distal segment.

A sterile dual-purpose closed intermittent urinary catheter system that may be used as either a drain line or a collection bag. A catheter resides within an inner cavity of an extensible sheath and may be extracted from a forward end through an outlet hub for insertion into the urethra. A valve at a rearward end of the sheath may be opened to permit the sheath to function as a drain line, or closed to permit the sheath to function as a collection bag. The sheath has an extended length substantially longer than the catheter length, and may be compressed in an accordion fashion or folded to a compact packaged shape. The urine may be collected in the sheath with the valve closed, or drained straight into a toilet with the valve open. The system may have a source of lubrication to wet the catheter.

Embodiments herein relate to catheters including multiple braid layers. In an embodiment, a catheter is included having a catheter body, the catheter body can include a proximal end portion; a distal end portion; an inner liner; and a braided structure, the braided structure can include an inner braid layer, the inner braid layer can include a first set of inner wires; and a second set of inner wires; an outer braid layer, the outer braid layer can include a first set of outer wires; and a second set of outer wires; wherein the braided structure is disposed over the inner liner; wherein the first set of inner wires are larger than the second set of inner wires; and wherein the first set of outer wires are larger than the second set of outer wires. Other embodiments are also included herein.