A catheter assembly including a reinforcement structure and a catheter disposed over the reinforcement structure. The reinforcement structure includes a first outer wall reinforcement portion, a second outer wall reinforcement portion, and a septum reinforcement portion connecting the first outer wall reinforcement portion to the second outer wall reinforcement portion. The catheter includes a catheter outer wall and a catheter septum. The first outer wall reinforcement portion and the second outer wall reinforcement portion can be positioned at least partially in the catheter outer wall, and the septum reinforcement portion can be enveloped by the catheter septum. The catheter assembly can also include an outer tube disposed over the catheter and the reinforcement structure.

An expandable introducer device includes an introducer hub, an expandable tubular membrane coupled to the hub and extending distally therefrom, and a rigid spine attached to, partially attached to, extending through, or incorporated into the inner surface of the tubular membrane. The tubular membrane includes a folded configuration and an expanded, unfolded configuration when a device is advanced through the tubular membrane.

A continuously hollow device for the transfer of fluids to the human body is provided, which is made in a nanomaterial derived from latex, which chemical composition in based primarily on fats, waxes and several gummy resins obtained from cytoplasm of lactic cells. This biochemically modified material is capable of adjusting its outer and inner diameter, i.e. it enlarges or shrinks according to the needs of the patient. The device corresponds to a needle or the like (catheter), which allows to have a very small diameter so as to be inserted in the patient (minimally invasive procedure) and after a physical excitation of such nanomaterial, it can be extended once inserted in the body so as to allow the intake or discharge of fluids to or from the body through a catheter, probe or the like.

An introducer sheath is disclosed, which includes a tube body that is percutaneously inserted into a body lumen; and a hub that is connected to a proximal portion of the tube body. The tube body contains a polyvinylidene fluoride resin, a ratio of a thickness to an inner diameter of the tube body is 1/16 or lower, and a ration of a kink radius to an outer diameter of the tube body is 9.5 or lower.

A catheter system includes an indwelling, hollow catheter having a tip inserted into a person's bladder. The tip has an opening through which urine from the bladder passes into the catheter. A flexible reservoir extends around the person's ankle and has walls bounding an interior compartment. A flexible, elongated tube has one end connected to the catheter and an opposite end connected to the reservoir. The tube is hollow for conducting urine in the catheter through the tube into the compartment of the reservoir. One of the walls of the reservoir is a bottom wall that engages and rests on a top of the person's foot in use to resist downward movement of the reservoir as the reservoir is filled with urine. A freely manipulated drain pipe is in fluid communication with the reservoir.

The expandable sheath and methods of use disclosed herein are used to deliver a prosthetic device through a patient's vasculature. The sheath is constructed to be expandable in the circumferential direction, while maintaining sufficient stiffness in the longitudinal direction to withstand pushing and resist kinking The sheath includes a plurality of curved arms extending outwardly from a longitudinally extending spine. The curved arms move away from the longitudinal axis of the sheath when pushed radially outwardly by a passing prosthetic device, and move back toward the longitudinal axis once the prosthetic device has passed.

A treatment method is disclosed, which includes preparing a catheter assembly by inserting an inner catheter into an outer catheter and screwing a protrusion of the outer catheter into a helical groove of the inner catheter; introducing the catheter assembly into the radial artery along a guide wire; pushing the catheter assembly along the guide wire to a target site in front of a stenosis of a blood vessel; releasing the screwing between the helical groove of the inner catheter and the protrusion of the outer catheter after a distal end of the catheter assembly reaches the target site; and causing the outer catheter to abut on at least a part of wall surfaces of a thoracic aorta and an abdominal aorta while drawing a helix and causing the treatment device to protrude from a distal end of the outer catheter at the stenosis.

A guiding device for a vascular catheter that is inserted over a guidewire. The guiding device comprising a tapered component for passing through a bore of the vascular catheter and extending from a distal end thereof. The tapered component has an aperture through which the guidewire may pass so that the tapered component (12) may move along the guidewire. A pushing means extends from the tapered component and is configured to extend beyond a proximal end of the vascular catheter. The tapered component comprises a first section, a second section and the third section. The first section is disposed between the proximal end of the tapered component and the second section, the second section is disposed between the first section and the third section, and the third section is disposed between the second section and a distal end of the tapered component. The first section is a cylinder and the second and the third sections are conical. The taper of the second section differs from the taper of the third section.

An example introducer is disclosed. An example introducer includes an inner liner including a lumen, a distal region and at least one folded portion extending along the distal region. The introducer also includes a reinforcing member having a length and including at least one spine extending along the length of the reinforcing member. The introducer also includes a sheath disposed along at least a portion of the introducer, wherein the sheath includes at least one perforation, wherein material adjacent to the at least one folded portion is removed from a distal portion of the introducer to form a tip region. The introducer also includes a tip member disposed along the tip region.

An introducer may include a layered tubular member having an inner liner including at least one folded portion extending along a distal region of the inner liner in a delivery configuration; a reinforcing member disposed over at least a portion of the inner liner, the reinforcing member including a plurality of longitudinal spines defining a plurality of openings disposed between adjacent longitudinal spines, wherein each folded portion is circumferentially overlapped by one of the plurality of openings; and an outer sheath disposed over the reinforcing member, wherein the outer sheath includes at least one perforation circumferentially overlapping each folded portion; and a tip member fixedly attached to a tapered distal region of the layered tubular member. The inner liner may extend to a distal end of the layered tubular member. At least a portion of each folded portion may terminate proximal of the distal end of the layered tubular member.