摘要:
A method of making a high flexibility distal zone on a neurovascular catheter is provided. The method includes the steps of dip coating a removable mandrel to form a tubular inner layer on the mandrel, coating the tubular inner layer with a soft tie layer, applying a helical coil to the outside of the tie layer, positioning a plurality of tubular segments on the helical coil, heating the tubular segments to form the high flexibility distal zone on the neurovascular catheter; and removing the mandrel. The plurality of segments have durometers that decrease in a distal direction. The flexural load profile of the catheter as a function of catheter length is configured to provide enhanced distal flexibility while maintaining high backup support.
摘要:
An enhanced flexibility neurovascular catheter is provided, such as for distal neurovascular access or aspiration. The catheter includes an elongate flexible body, having a proximal end, a distal end and a side wall defining a central lumen. A distal zone of the side wall includes an outer jacket surrounding a helical coil, and the outer jacket is formed from a plurality of tubular segments positioned coaxially about the coil. A proximal one of the tubular segments has a durometer of at least about 60D, and a distal one of the tubular segments has a durometer of no more than about 35D. An axially extending filament within the side wall extends at least about the most distal 10 cm of the length of the catheter. The axially extending filament serves as a tension support and resists elongation of the catheter wall under tension, such as when the catheter is being proximally retracted through tortuous vasculature.
摘要:
A urological device includes a valve support stem, a bladder retainer, and a urological valve. The valve support stem is adapted for placement in a urethra of a user and extends between a proximal end and a distal end. The bladder retainer is adapted for placement in a bladder of the user. The bladder retainer is connected to the valve support stem at a support stem location between the proximal end and the distal end of the valve support stem. The bladder retainer is formed as a wall of material extending radially outwardly from the valve support stem, with a proximal surface of the wall forming an acute angle relative to the valve support stem. The urological valve is disposed in the bladder retainer at a location proximal to the support stem location and proximal to the proximal surface of the wall.
摘要:
In accordance with the present invention there is provided apparatuses and methods for using a medical instrument including a sizing and positioning adapter. The apparatus comprises an adapter for a medical instrument, the adapt having a body having a shim portion and an instrument holding portion adjacent the shim portion, wherein the shim portion provides an enlarged peripheral surface adjacent the medical instrument such that when the medical instrument is held in the instrument holding portion and the medical instrument and body are inserted through an opening in a patient tissue, at least a portion of the enlarged peripheral surface is in contact with at least a portion of the periphery of the opening in the patient tissue.
摘要:
In a sheath device for inserting a catheter into a patient's body, comprising a first sheath having a proximal end and a distal end, wherein when used as intended the distal end of the first sheath is provided for arrangement in the patient's body and the proximal end of the first sheath is provided for arrangement outside the patient's body, and wherein the first sheath comprises a tubular section and a sheath housing, which is disposed at the proximal end of the section and comprises a receiving channel for a catheter, according to the invention the tubular section is detachably held in a clamping element of the sheath housing in a non-positive manner so as to be able to easily shorten the tubular section.
摘要:
In a remote control system and method for use in intraluminally or intravascularly located operations, an invasive element to which a remote control unit (RCU) is attached is introducible into a lumen. An elongated tube, to which an activation device is affixed near a distal end, is feedable into the lumen via the invasive element. The RCU is positionable within transmission range of an actuator for the activation device. An operator manipulating the tube with one hand to receive a tactile sensation and engaging the RCU with another hand simultaneously views the tube distal end on a monitor, and depresses an RCU button to actuate the activation device after determining that a body portion is in need of a corrective action. In one embodiment, the RCU comprises a shell for securing the invasive element, facilitating application of a reactive force to the shell by a finger during an operation.
摘要:
An introducer sheath for percutaneous insertion of a heart pump includes a tubular sheath body having a wall, a proximal end portion, a distal end portion, and an inner lumen. The introducer sheath includes a hemostatic valve disposed in the proximal end portion and forming a liquid tight seal across the inner lumen of the tubular sheath body. The hemostatic valve includes a valve cavity having a distal end and a proximal end, a first annular restriction formed within the valve cavity and having a first diameter, and a second annular restriction formed within the valve cavity distal to the first annular restriction and having a second diameter. The distal end of the valve cavity is spaced from the second annular restriction by a gap distance and a third diameter of the valve cavity along the gap distance is about equal to or greater than the first and second diameters.
摘要:
Catheters of the present disclosure include a catheter shaft and an expandable tip, which can retrieve materials slightly larger than an inner diameter of the catheter shaft. The tip may be expandable such that it can easily transform from a first size and shape to a second size and shape to aid in the retrieval of the materials (i.e., the thrombus, embolus, or foreign body). Catheter tips may be expanded by inflation, removal of a constraining member, or an input such as heat, light, or electrical energy.
摘要:
The device according to the invention includes a hollow body delimiting an inner passage. It further includes an assembly for maintaining the material in position in the inner passage.The maintaining assembly includes a radially compressible member delimiting, when idle, a through passage aperture of the material, and a radial compression member compressing the compressible member, radially movable relative to an axis of the passage aperture to outwardly compress the compressible member.It includes a member for actuating the or each compression member, radially movable relative to the body to cause the compression member to go from a radially retracted position, in which the section of the passage aperture is maximal, to a position radially deployed in the compressible member, in which the section of the passage aperture is minimal.
摘要:
Intrauterine fetal growth restriction (IUGR) is an affliction of a disparaging spectrum, placental insufficiency being the major inciting pathology. The resultant fetal hypoglycemia is alleviated by intravenous hypertonic D-glucose 25-50% maternal supplements, by improving the Vmax of placental substrate transfer, as per Michaelis-Menten model. Fetal normoglycemia so restored in turn surprisingly improves fetal hypoxia, hypercapnia if any, lactic acidemia, acidosis, oliguria with/without oligohydromnios, hypertriglyceridemia, and the fetal nutrient, mineral and vitamin acquisition. The list being phenomenal can only convince an inquiring reader by a biochemical sojourn into the aquatic world of the fetus, herein described. Maternal carbohydrate predominant, essential amino acids/fatty acids rich IUGR-diet incorporating maximal amounts of vitamin and minerals are highly beneficial for attainable placental Vmax. Transamniotic isotonic D-glucose supplement via minimally invasive ‘Suprapubic extraperitonial pelvic approach’ for amniotomy (Sumathi Paturu's technique) with a Subcutaneously Implanted Pregnancy Port (SIPP) catheter is the additional therapy advocated.