Pigtail catheters and relates methods for measuring a pressure gradient across a bodily narrowing are disclosed. A pigtail catheter can comprise a proximal shaft segment and a distal shaft segment. The proximal shaft segment can include double lumen tubing defining a proximal pressure lumen and a non-coaxial, distal pressure lumen. In an example, the distal pressure lumen has a generally circular cross-sectional shape, and the proximal pressure lumen has a generally crescent or kidney cross-sectional shape that wraps partially around the distal pressure lumen. The distal shaft segment can include at least one distal orifice positionable distal to the bodily narrowing and at least one proximal orifice positionable proximal to the bodily narrowing. Each orifice can have a diameter of at least about 0.018 inches, for example. A manifold can be coupled to a proximal end of the proximal shaft segment and can include a proximal pressure port in communication with the proximal pressure lumen and a distal pressure port in communication with the distal pressure lumen.

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.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes inserting an intramural crossing device into the vascular lumen, positioning at least the distal tip of the crossing device in the vascular wall, advancing an orienting device over the crossing device such that an orienting element of the orienting device resides in the vascular wall, inserting a reentry device, and re-entering the true vascular lumen.

Disclosed is a multifunctional balloon dilatation catheter for intracorporeal membrane oxygenation, comprising: a catheter hub, a dilatation balloon, and M channels. The M channels comprise at least a balloon dilatation channel for dilating the narrowed part of the airway, a positioning & detection channel for positioning or detecting while inserting, a supply channel for continuous oxygen supply or drug administration to the patient, and a secretion removal channel for removing secretions from the airway. The catheter hub is a multi-channel connection device, through which the M channels are respectively connected to the external therapeutic devices of the catheter. The catheter is inserted into a bronchiole of the lungs. When using the catheter for emergency treatment of patients with pneumonia, especially COVID-19, measures such as airway dilatation, oxygen supply, sputum suction and biopsy can be simultaneously performed, thereby improving the survival rate of patients and reducing lung damage.

Provided are drainage systems that may include a drainage manifold and may be suitable for draining fluid from a tissue site. The drainage manifold may include a plurality of elongate members having a moveable end that may be adapted to configure the drainage manifold to treat a uniquely shaped tissue site. The drainage manifold may be coupled to a drainage tube with a transitional connector to provide a drainage system capable of distributing reduced pressure to the tissue site to enhance the drainage of fluids.

A catheter comprising an elongated body (12) defining one or more lumens (40,42), and the elongated body comprises a sidewall defining a side opening (14) in fluid communication with a lumen of the one or more lumens. The side opening has a proximal end (14A), a distal end (14B), a first side (34) extending from the proximal end to the distal end, and a second side (36) opposing the first side and extending from the proximal end to the distal end. When the elongated body is straight, the first and second sides curve towards each other between the proximal and distal ends, e.g., to define a biconcave shape.

Methods and devices for trans-jugular carotid access are disclosed. Methods within the scope of this disclosure include methods of trans-jugular carotid access originating in the leg of a patient or other location remote to the jugular vein and carotid artery and methods originating at the neck of a patient. Devices used in connection with the disclosed methods may comprise access catheters, lumens, and stylets.

Methods and devices for trans-jugular carotid access are disclosed. Methods within the scope of this disclosure include methods of trans-jugular carotid access originating in the leg of a patient or other location remote to the jugular vein and carotid artery and methods originating at the neck of a patient. Devices used in connection with the disclosed methods may comprise access catheters, lumens, and stylets.

Balloon/infusion catheters comprise internal corewires within a single lumen structure in which the corewire can slide relative to the catheter tube within limits, and the balloon is attached to the catheter tube on one end and to the sliding corewire on the other end. The lumen provides fluid to inflate the balloon and to infuse fluid into the vessel proximal to the balloon. The infusion ports can have a polymer valve to limit infusion to lumen pressures at which the balloon is appropriately inflated. The balloon/infusion catheter can have an integral flow meter near its proximal end. Corresponding methods for use of the balloon/infusion catheter are described, such as for the delivery of hydraulic forces when used in conjunction with an aspiration catheter.

A multifunctional catheter includes a catheter main body (1) and a distal tube (2) that are in a multi-channel structure. The distal tube (2) includes a soft end (21) at a proximal end and a functional end (22) at a distal end; a working channel (3) and a lens channel (6) are provided in the catheter main body (1) and the soft end (21), and the functional end (22) is also provided with a through hole communicating with the lens channel (6); the lens channel (6) is of a circular tubular-cavity structure extending along the catheter main body (1) and the soft end (21); and a plurality of accommodating slots (61) are provided on an inner wall of the lens channel (6) to accommodate a photosensitive chip in a lens assembly by the plurality of accommodating slots (61).