摘要:
An arteriovenous shunt assembly including a shunt having a hollow bore between open first and second ends thereof and a valve slidably disposed through the hollow bore. The valve includes means for retaining the valve in a closed position or in any of various selected open positions that provide corresponding different rates of blood flow through the shunt assembly. In some embodiments, the AV shunt assembly is self-expandable from a collapsed tow-profile configuration employed during transluminal delivery. The valve position in the hollow bore may be adjusted in vivo by inflating a catheter balloon in a blood vessel to bear against an end of the valve. Methods for using the shunt assembly are also disclosed.
摘要:
A catheter system for positioning of an instrument within a body. The catheter system includes a hub defining a lumen therethrough for passage of the instrument and an elongate tubular member defining a lumen therethrough. The lumen of the tubular member is in communication with the lumen of the hub. The system also includes a slitter member that is coupled to the hub. The slitter member is disposed to slit the tubular member. The slitter further includes a moveable member that is moveably coupled to the hub and that is coupled to the tubular member, the moveable member is operable to advance the elongate tubular member toward the slitter member as the moveable member is moved relative to the hub. The slitter member thereby slits the elongate tubular member.
摘要:
A catheter system for positioning an instrument within a body that includes a hub defining a lumen therethrough for passage of the instrument toward the body. The catheter system also includes an elongate tubular member defining a lumen therethrough. The lumen of the elongate tubular member is in communication with the lumen of the hub for further passage of the instrument toward the body. The system also includes a slitter member that is coupled to the hub. The slitter member is disposed to slit the elongate tubular member as the elongate tubular member moves relative to the hub.
摘要:
According to an aspect of the invention there is provided a method and apparatus for delivering a medical stent to a treatment site for forming a conduit between a blood vessel and a heart chamber. The apparatus comprises a hollow cylindrical body having a proximal end and a distal end, the stent being positioned within the body; and an actuator for expelling the stent from the body to form the conduit.
摘要:
An apparatus for treating an occlusion in a vessel inside of a patient. The apparatus includes an external high intensity focused ultrasound transducer configured to be positioned outside of the vessel and to emit ultrasonic waves of energy to the occlusion and to detect ultrasonic waves of energy, an internal ultrasound transducer configured to be positioned inside of the vessel at a position adjacent to or inside the occlusion and to emit ultrasonic waves of energy for detection by the external high intensity focused ultrasound transducer, and a controller configured to control the ultrasonic waves of energy emitted by the external high intensity focused ultrasound transducer based on an electrocardiogram of the patient.
摘要:
A bifurcated catheter includes a first catheter branch having a first distal portion and a second catheter branch having a second distal portion. The first and second distal portions are linked together for delivery to the bifurcated region. Upon delivery to the bifurcated region, the first and second distal portions are released from each other such that the first and second catheter branches may be tracked into first and second vessel branches, respectively. The first and second distal portions can be linked together by an appendage disposed on the first distal portion that is sized and shaped such that the appendage fits snugly within a distal opening of the second distal portion, a cup disposed on the first distal portion that is sized and shaped to snugly receive the second distal portion, moving pocket disposed on the first distal portion and slidable relative to the first distal portion that is sized and shaped to snugly receive the second distal portion, or a sheath coupled to the first distal portion and wrapped around the second distal portion.
摘要:
A catheter and a guidewire exchange system includes a catheter and a guide member. The catheter includes a lumen extending through the shaft and sized to receive the guidewire, and a longitudinal guideway enabling transverse access from the shaft exterior surface to the lumen. The guide member includes a housing, a catheter passageway extending through the housing and adapted to slidably receive the catheter, a guidewire passageway extending from one end of the housing into the catheter passageway and including a tube adapted to merge the guidewire transversely through the guideway and into the first lumen, and an fluid flow reduction body that is positioned in the guidewire passageway and impedes fluid flow therethrough.
摘要:
A convertible balloon catheter for use as either an over-the-wire catheter or a rapid exchange catheter, comprising a flexible outer shaft, flexible inner shaft, angioplasty balloon, and bifurcate hub. The inner shaft is comprised of a relatively elastic, deformable material and forms an inflation lumen. The inner inflation shaft is attached to the outer shaft, and has a cross section that is radially collapsible to increase the size of a full-length guide wire lumen formed between an outer surface of the inner shaft and an inner surface of the outer shaft. Formed in the outer shaft is a hatch, which covers a guide wire port. The hatch has a perforated peripheral edge which allows the hatch to be removed. The balloon is simply constructed with essentially four components, which significantly reduces the labor required for assembly.
摘要:
A catheter and guide wire exchange system including a catheter that has a guide wire lumen with a guide way extending along a length of the proximal shaft. A guide member is slidably disposed about the proximal shaft for directing a guide wire into or out of the guide way and the guide wire lumen. A transition section joins the trilumen proximal shaft to a coaxial distal shaft.
摘要:
The systems and methods described herein include drug delivery catheters that have dimpled porous balloons mounted onto the distal end of the catheter. In one embodiment, the balloons are adapted for delivering therapeutic agents to the tissue wall of a body lumen, and to this end include a plurality of dimples formed in the exterior surface of the balloon, with each dimple having at least one aperture through which a fluid delivered into the interior of the balloon can extravasate. It is understood that the balloons described herein provide, inter alia, increased coverage of the tissue wall to which the agent is being delivered and less traumatic contact between the agent being delivered and the tissue wall.