Abstract:
The invention describes an autonomous catheterization assembly (1) comprising a catheter arrangement (C, 10) for insertion into the vascular system (20) of a patient (2), which catheter arrangement (C, 10) comprises a sensor arrangement (S1, S2, S3) adapted to sense a condition in the interior of a vessel (200) of the vascular system (20); a shape adjustment means (100) arranged in a distal portion (10D) of the catheter arrangement (C, 10); and an actuator arrangement (101A, 101B) realised to control the shape adjustment means (100) to adjust the shape and/or orientation of the distal portion (10D) of the catheter arrangement (C, 10). The autonomous catheterization assembly (1) further comprises a propulsion assembly (11, 11C, 11G) adapted to propel elements (C, 10) of the catheter arrangement (C, 10) through the vascular system (20) of a patient (2); a route computation module (12) realized to compute a route (R) through the vascular system (20) to a target (21); and a control unit (13) realized to actuate the propulsion assembly (11) on the basis of the computed route (R) and/or in response to a sensed condition in the interior of a vessel (200) of the vascular system (20). The invention further describes a catheter arrangement (C, 10) of a catheterization assembly; and a method of performing an autonomous catheterization procedure on a patient (2).
Abstract:
A coaxial transseptal device and methods of piercing a tissue within the heart. The coaxial transseptal device includes a piercing device having a shaft with a distal sharpened portion. The coaxial transseptal device also includes a coaxial guide-wire configured to receive the piercing device and move relative thereto. The flexibility of the coaxial guide-wire increases from the proximal end to the distal end.
Abstract:
A guidewire is provided with first and second helical members at the distal end of the guidewire. The helical members enmesh with each other in a retracted state. The second helical member is extended from the first helical member by rotating a tubular member and core member relative to each other. This causes the first and second helical members to be driven apart from each other along a helical path defined by the engagement between helical members.
Abstract:
The present invention provides for devices and methods for providing endovascular therapy, including facilitating establishment of vascular access, placement of endovascular sheaths, catheter tip localization, and administration of vascular occlusion. The invention includes a vessel cannulation device, an expandable sheath, an occlusion catheter, and a localizer each of which may be provided separately or used as part of a system. One embodiment of the invention is a vessel cannulation device including: a housing having a distal end with a distal tip and a proximal end; a guidewire lumen passing through the housing and at least the distal tip; a sensor coupled to the guidewire lumen; and an advancing member, which is configured for advancing at least one of a guidewire or a sheath and which is operably coupled to the sensor.
Abstract:
A redirecting delivery catheter includes a first longitudinal member having an inner chamber configured to receive a second longitudinal member, an outer surface surrounding the inner chamber, a first region located at a proximal end, a second region located at a distal end, and a length. An opening in the outer surface extends along a portion of the length of the first longitudinal member between the first region and the second region. A deflecting mechanism is located proximate to the opening and is configured to be capable of transforming from a first position to a second position. The deflecting mechanism is configured to enable the second longitudinal member to access the second region in the second position and to deflect the second longitudinal member towards the opening in the first position. Methods of use of the redirecting delivery catheter are also disclosed.
Abstract:
Interventional catheter-based systems and methods are described herein for use in generating an initial pathway through vascular occlusions. The catheter systems generally include two elements. A first element is a Blunt Dissection Catheter including a manually actuated assembly located at the distal tip of the Blunt Dissection Catheter that performs blunt dissection in the vascular occlusion to produce a dissection track, or small pathway through the occlusion. The second element is a Sheath Catheter that serves as a conduit within which the Blunt Dissection Catheter is freely advanced, retracted and rotated. The first and second elements are used in some combination to cross vascular occlusions in both the coronary and peripheral vasculature.
Abstract:
A catheter device with a cutting structure or means on the distal portion is disclosed, along with a medical procedure for using the device. The catheter is configured in such a way as to create a permanent interatrial aperture in the heart, including creating a permanent interatrial hole and/or removing tissue.
Abstract:
An intravascular emboli capture and retrieval system for intravascular embolism protection and embolism removal or maceration. Guidewire mounted proximally and distally located multiple opening filters are deployed within the vasculature and used to part, divide and macerate embolic debris and to capture such embolic debris within the confines thereof. A deployable flexible preformed memory shaped capture sleeve is alternatively used to collapse one or more filters and embolic debris therein for subsequent proximal withdrawal from the vasculature.
Abstract:
Disclosed is a pericardiocentesis needle component (10), comprising a guide wire (13) and a puncture needle (12). The guide wire (13) extends into and through the puncture needle (12), and the guide wire (13) comprises a bent section (32) at the distal end and a straight section at the proximal end. The bent section (32) at the distal end is formed by bending the guide wire (13), and the end of the bent section is a pointed-shape structure. The guide wire (13) is made of a highly elastic material. The pointed end rotates at least 90 degrees within a range of no more than 3 mm starting from the pointed end at the bent section (32) of the guide wire. The pericardiocentesis needle component (10) of the present invention is less likely to damage a heart during a pericardiocentesis procedure.