A catheter including: an elongated body sized to traverse vasculature; a lumen formed in the elongated body; and a pull-wire. The elongated body has a transition zone disposed between proximal and distal ends of the elongated body, a first shaft extending from the proximal end of the elongated body to the transition zone and defining a longitudinal axis, and a second shaft extending proximally from the distal end to the transition zone. The lumen defines a curved path curved about the longitudinal axis and extending from the distal end to the transition zone, and a straight path extending from the transition zone to the proximal end. The pull wire extends within the curved and straight paths, and is anchored to the second shaft such that translation of the pull-wire near the proximal end deflects the second shaft substantially along the curved path.

Filtration systems with integrated filter element(s) forming portions of the wall of the filtration catheter are disclosed. The filtration catheters disclosed herein are designed to be used alone or in conjunction with another filter device to provide embolic protection of both carotid arteries. Occlusive element such as balloon is placed on the exterior of the filtration catheter to redirect blood flow in the vessels during the filtration process as well as to help anchor the filtration catheter inside the vessel. The integrated filter element(s) does not require collapsing thus significantly reduces the complexity of the filtration system retrieval process and the chances of releasing emboli back into the blood stream. The compact design of the filtration systems makes them particularly suitable for embolic protection during endovascular procedures on or close to the heart.

A catheter may include electrodes for transvascular nerve stimulation. The electrodes may be positioned within lumens of the catheter and aligned with apertures in the outer wall of the catheter. The electrodes may produce focused electrical fields for stimulation of one or more nerves. In one embodiment, the catheter may include a set of proximal electrodes and a set of distal electrodes, and the proximal electrodes may stimulate a patient's left phrenic nerve and the distal electrodes may stimulate a patient's right phrenic nerve.

A septal cross system is provided for a cerclage procedure for treating dysfunctional heart. The cerclage septal cross system includes a puncture catheter and a capture catheter. The puncture catheter a puncture catheter comprises a first lumen for a guidewire to be inserted thereinto. A coil element is arranged in the distal portion of the puncture catheter. The distal end of the pull-wire is attached to the distal portion of the coil element. The proximal end of the pull-wire is extended to the distal portion of the puncture catheter. The pull-wire is configured to bend inwardly the distal portion of the puncture catheter. A capture catheter comprises a first lumen for a first guidewire to be inserted thereinto and a second lumen for a second guidewire to be inserted thereinto. The distal end of the second wire has a snare wherein the distal portion is deflectable.

A Rapidly Insertable Central Catheter (“RICC”) includes an access section formed of a first material, a catheter body section formed of a second material, and a dilator section disposed therebetween. The first material has a first durometer and the second material has a second, lesser durometer. The dilator section is formed of the first material, the second material, or a third material having a third durometer. The catheter body defines a primary lumen communicating with a primary lumen aperture disposed in a distal tip of the access section, a secondary lumen communicating with a secondary lumen aperture and a tertiary lumen communicating with a tertiary lumen aperture. The secondary lumen aperture and the tertiary lumen aperture can be disposed at an equal longitudinal length from the primary lumen aperture. The RICC can include intricate tip structures formed from different materials and can define a smooth abluminal surface.

To provide a new balloon catheter enabling formation of, with high dimensional accuracy and excellent shape adaptability with respect to a balloon, an additional structure such as a blade and a reinforcement member to be additionally provided to the balloon. In this balloon catheter 10 provided with an expandable/contractible balloon 14 on the distal end side of a catheter 12, an additional structure 36 having a prescribed pattern is formed through electroforming or the like directly onto an inner circumferential surface 34 and/or an outer circumferential surface 82 of the balloon 14.

Methods, devices, systems of resuscitating a patient including accessing an arterial vessel positioning a catheter into the arterial vessel advancing the catheter through the arterial vessel to position it below a vessel supplying blood to a heart and a brain expanding an expandable portion of the catheter to prevent blood from flowing past the expanded portion and infusing a substance retrograde into the artery within the arterial section between the heart and the expanded portion of the catheter.

A method for aspirating thrombus in a subject, the method including providing an aspiration catheter having a supply lumen, an aspiration lumen, and a first connector hydraulically coupled to the aspiration lumen. The method further includes providing a pressure sensor having an internal passageway and having a distal connector configured to hydraulically couple to the first connector, a proximal connector configured to couple to a vacuum source, and a valve disposed between the distal connector and the proximal connector, the valve having an open state and a closed state. Following inserting at least a distal portion of the aspiration catheter into the vasculature of a subject, changing the valve from one of the open state and closed state to the other of the open state and closed state such that a change in pressure may be detected by the control circuitry.

An improved bi-directional steerable catheter is provided. The catheter generally comprises a catheter body, tip section and control handle. The catheter further comprises first and second puller wires extending from the control handle, through the catheter body and into the tip section. The control handle has deflection means for each puller wire that include a gear, and a carrier to which the proximal end of a puller wire is anchored. The gear is rotatably coupled to a lever controlled by an operator and the gear engages the carrier such that rotation of the gear by the lever results in longitudinal movement of the carrier, which results in deflection of the tip section.

One embodiment is a medical device with a flexibly deformable external hose. The external hose includes multiple openings, at least one of them arranged in a first end of the external hose. It includes a flexible internal hose, which is arranged on the inside of the external hose. The internal hose, in an expanded state, has an external diameter that is at least equal to the internal diameter of the external hose, closing the openings of the external hose. The external diameter of the internal hose can be transitioned from the expanded state into a radially contracted state, exposing the openings. A connection firmly connects the external hose and the internal hose on the first end of the external hose, and closes them in fluid-tight manner. A connector supplies the fluid into the intervening space between the external and the internal hose.