The invention comprises an indwelling medical device which is capable of delivering a therapeutic agent evenly along the length of the indwelling portion, including the outer wall, of the device.

A catheter includes: a body comprising a body side wall, a proximal end and a distal end; a septum extending from the proximal end to the distal end; a first lumen and a second lumen separated by the septum, each lumen forming a mouth at the distal end; first and second slots formed in a portion of the body side wall at the distal end and in fluid communication with the first and second lumens respectively. The first and second slots extend linearly along a direction parallel to a longitudinal axis of the body. The distal end of the body and the septum terminate in a plane perpendicular to the longitudinal axis. The distal end of the body has a substantially round cross section, while the first and second lumens each have a substantially D-shaped cross-section at the distal end. The two slots each have a width that is between 30% and 60% of a longer dimension of the D-shaped cross-section of a corresponding lumen.

A medical fluid suspension generating apparatus for performing medical procedures includes a Venturi-agitating tip assembly composed of a multi-channel arrangement at a proximal first end thereof and a tip at a distal second end thereof. The apparatus also includes a compressed medical fluid unit fluidly connected to the multi-channel arrangement at a proximal first end of the Venturi-agitating tip assembly and a medical solution fluidly connected to the multi-channel arrangement at a proximal first end of the Venturi-agitating tip assembly. Pressurized sclerosant or other chemical medical solution, from the compressed medical fluid unit, and the medical solution of sclerosant or other chemical medical solution are combined within the Venturi-agitating tip assembly in a manner generating an enriched medical suspension that is ultimately dispensed from the suspension delivery apparatus to spray or wash the inner wall of a lumen.

A system for aspirating thrombus and delivering an agent includes an aspiration catheter having a supply lumen having a proximal end, a distal end, and a wall, and an aspiration lumen having a proximal end, an open distal end, and an interior wall surface adjacent the open distal end, and at least one orifice at or adjacent the distal end of the supply lumen, in fluid communication with the aspiration lumen and located proximally of the open distal end of the aspiration lumen, wherein the at least one orifice is configured to create a spray pattern that is caused to impinge on the interior wall surface of the aspiration lumen such that the spray pattern upon impinging on the interior wall surface is caused to transform into at least a substantially distally-oriented flow capable of exiting the open distal end of the aspiration lumen.

The present embodiments provide systems and methods suitable for delivering an agent including a plurality of particles to a target site. In example embodiments, a system suitable for delivering an agent to a target site includes a catheter having a first wall defining a lumen sized for delivery of the agent to the target site. The catheter has a distal end terminating with a primary opening of the lumen, an opposing proximal end, and a longitudinal axis extending between the distal end and the proximal end. At least one secondary opening is formed at the distal end, wherein the secondary opening is configured to allow fluid to flow through the secondary opening to create a steady flow of fluid at an angle with respect to the longitudinal axis and prevent the plurality of particles from flowing through the secondary opening.

A smart obturator assembly includes a hub forming a central passage. The hub is configured to couple to a proximal end of a device that forms a lumen such that the central passage is in fluid communication with the lumen. A collar on the hub includes electronic circuitry in signal communication with remote reception circuitry. An obturator is movably positionable within the lumen. The obturator is movable within the lumen between a first position and a second position. The obturator includes a distal end and a sensor at the distal end. The sensor is configured to sense an environmental characteristic within a patient's blood stream, generate a signal representative of the environmental characteristic, and transmit the signal to the electronic circuitry. The electronic circuitry is configured to receive the signal and transmit the signal to the remote reception circuitry.

A direct stream hydrodynamic catheter system is provided for the removal of thrombus, lesions and the like including provisions for the infusion of drugs, lysing fluids and the like into a blood vessel. Physician controlled powered direct fluid jet streams emanate from a fluid jet emanatory in the form of robust radially directed fluid jet streams to impinge upon and ablate difficult and strong thrombus and lesions within a blood vessel. Effluent aspiration is controlled by an exhaust regulator in the form of a roller pump, but effluent removal can be assistingly influenced by the fluid pressure associated with the radially directed fluid jet streams.

A catheter may include a catheter body, which may include a proximal end, a distal end, and a lumen formed by an inner wall of the catheter body that extends between the proximal end and the distal end along a longitudinal axis. The distal end of the catheter body may include a distal lumen opening disposed on the longitudinal axis. The distal end may also include a leading edge. The leading edge may form the distal lumen opening and may include an upper and a lower portion. The lower portion of the leading edge may be disposed distally to the upper portion of the leading edge.

A system for delivering a fluid to a Eustachian tube (ET) of a patient includes a guide member and a tubular member. The guide member includes a shaft having a proximal portion, a distal portion, and a bend at the distal portion. The bend is configured to provide access to an opening in the ET. The system further includes a tubular member comprising a proximal end, a distal end, and a lumen extending therebetween. The tubular member is sized to fit within the ET. One or both of the tubular member and the guide member comprises a first stop member configured to engage the other of the tubular member or the guide member. The first stop member is configured to restrict a distal advancement of the tubular member relative to the guide member.

A fluid dispensing catheter includes an inner member defining a first passage and an outer member defining a second passage. The inner member is disposed within the second passage. The fluid dispensing catheter also includes a plug having a proximal section positioned within the first passage and a distal section extending distally from the proximal section. The distal section is positioned outside of the first passage and within the second passage.