Embodiments of the present disclosure provide a delivery apparatus for a prosthetic heart valve. Disclosed delivery apparatuses can include a handle, a first shaft extending from the handle, a second shaft disposed around the first shaft, and a valve cover. The valve cover can be coupled to a distal end portion of the first shaft and can be configured to house a prosthetic heart valve in a radially compressed state. The valve cover can have an outer diameter greater than an outer diameter of the second shaft, and the first shaft and valve cover can be movable together in an axial direction relative to the second shaft.

The present technology relates to a hemostasis sealing device having a device enclosure with a first seal portion for a medical device and a second seal portion for guide wire sealing. The device enclosure can be generally configured for compressive communication with a housing. The second seal portion can define a split that is in compressive communication with structural elements of the hemostasis sealing device, which can simultaneously provide sealing functionality and allow passage of relatively large-bore devices.

An aspiration thrombectomy system is described with an aspiration catheter assembly having fittings interfaced with conduit and a pump. The aspiration catheter assembly can include a guide catheter and an aspiration catheter. The aspiration catheter can be positioned into an artery with a distal opening positioned proximal to a clot. The fittings can include a filter for removing thrombus from the aspiration flow. The fittings can include a flow meter for measuring flow to the pump. The fittings can include a pressure sensor for measuring pressure in the fittings. The aspiration catheter can be manipulated based on pressure and flow measurements. The fittings can include a docking manifold that can dock the connection suction of the suction extension to allow removal of the suction extension from hemostatic isolation and clearing of clots from the suction extension without further fittings such that the cleared suction extension can be efficiently reinserted for additional use.

A medical device is adapted to seal around elongate shafts of varying diameter therethrough. The medical device includes a plurality of elastomeric sealing members together defining a variable dimension aperture, a chuck body, and a chuck ring that is rotatably secured relative to the chuck body. The medical device is adapted such that rotating the chuck ring in a first direction causes the plurality of elastomeric sealing members to move closer together, thereby reducing a size of the variable dimension aperture, and rotating the chuck ring in a second direction causes the plurality of elastomeric sealing members to move farther apart, thereby increasing a size of the variable dimension aperture.

Devices, systems, and methods for sealing medical devices, particularly during intravascular access, are disclosed herein. Some aspects relate to a hemostatic valve for sealing a wide range of medical devices, such as catheters, wires, embolectomy systems. The valve can include an elongate member having a first end, a second end, and a central lumen extending therebetween. A reinforcement structure extends along at least a portion of the elongate member and is coupled to the elongate member. A shell defining a first aperture and a second aperture may be included, which first and second apertures can be fluidly coupled by the elongate member. A tensioning mechanism is coupled to the shell and to the elongate member, the tensioning mechanism can be moveable between a first configuration wherein the tensioning mechanism is collapsed and the central lumen is sealed and a second configuration wherein the central lumen is open.

A guiding sheath has a braided layer for improved deflection characteristics and ring electrodes for electrical sensing, mapping and visualization, wherein lead wires for the ring electrodes are passed through lumened tubing position under the braided layer in a proximal portion of the guiding sheath shaft and above the braided layer in a distal portion of the guiding sheath shaft. Moreover, the hemostatic valve includes an improved friction ring with air vents to reduce the risk of air being introduced into the valve.

A valve system for a catheter, such as an aspiration catheter, is disclosed and includes a valve having a proximal end and a distal end. The distal end of the valve is coupled to the catheter. The valve has a flexible lumen in a first state that is constricted or twisted. The valve system is housed within a hub, where actuation of a button on the hub causes the proximal and distal ends of the valve to rotate relative to each other to put the lumen in a second state that is unconstricted or untwisted state.

Disclosed is a hemostasis valve device including a connector including a first channel, a holder disposed at a first end of the connector and configured to communicate with the first channel, and a valve portion disposed at a second end of the connector and configured to selectively open or close the first channel. Here, the connector includes a first pipe including the first channel and a second pipe which diverges from a first point of the first pipe and includes a second channel configured to communicate with the first channel. Also, the first pipe includes a hole which allows the first channel to communicate with the outside. Here, the hemostasis valve device further includes an opening and closing portion disposed at the first pipe and configured to selectively open or close the hole. The hole is disposed between the first end and the first point.

A hemostasis valve, a catheter sheath, and a method for sealing an interventional instrument (9), the hemostasis valve comprising a housing (1,100) and a sealing film (2,130) which is installed within the housing (1,100) and which is a tubular structure; an inner cavity (21) of the tubular structure serves as an instrument channel (11,131) and penetrates the housing (1,100); driving chambers (12,150) which are located on the periphery of the sealing film (2,130) and which are used for being filled with a fluid are provided within the housing (1,100); the hemostasis valve further comprises an energy storage mechanism (3) that can link with the fluid; the energy storage mechanism (3) correspondingly stores or releases energy when the state of the sealing film (2,130) changes; and the sealing film (2,130) is driven to seal the instrument channel (11,131) during energy release. By means of the design of the energy storage mechanism (3), deformation energy of the sealing film (2,130) is stored, thereby achieving good compatibility and a good sealing effect when different instruments pass through; in addition, by means of the configuration of parameters of the sealing film (2,130), the configuration of parameters of an energy storage structure, and the cooperation between the two, the advantages of good drawing operation feeling and small operating force changes of an instrument are achieved, and a structural basis is provided for other functions.

A guiding sheath has a braided layer for improved deflection characteristics and ring electrodes for electrical sensing, mapping and visualization, wherein lead wires for the ring electrodes are passed through lumened tubing position under the braided layer in a proximal portion of the guiding sheath shaft and above the braided layer in a distal portion of the guiding sheath shaft. Moreover, the hemostatic valve includes an improved friction ring with air vents to reduce the risk of air being introduced into the valve.