Cook Medical Technologies LLC

Elizabeth A Eaton

Blayne A Roeder

Gary Bradford Shirley

Allen E Hacker

Matthew Wildridge

Joshua Sylvan

A device includes a medusa wire group with at least three separate wires slidably received in a vascular catheter. The multiple wires of the medusa wire group maximize the chances of at least one wire entering a target branch vessel during an attempt to achieve access. Entry into the branch vessel may then be gained by advancing the vascular catheter over the at least one wire that successfully entered the branch passageway.

Device with medusa wire group

A method of making a contoured internal limb including providing a flattened tubular segment of graft material, and a prosthesis including the contoured internal limb. The tubular segment includes a left lateral edge, a right lateral edge, a first length extending from the left lateral edge to the right lateral edge, and a second length extending from a proximal end to a distal end of the tubular segment. The method also includes contouring a proximal portion, a middle portion, and a distal portion of the contoured internal limb from the tubular segment. The method also includes closing a right lateral edge of the proximal portion and a right lateral edge of a first section of the middle portion. The method further includes removing the proximal, middle and distal portions of the contoured internal limb from the tubular segment and maintaining a second section of the middle portion as circumferentially continuous.

Method of making a contoured internal limb for a prosthesis and prosthesis with a contoured internal limb

A bifurcated endovascular prosthesis that includes a tubular main body having a diameter, a proximal end, a distal end, an internal lumen extending from the proximal end to the distal end, an anterior side, and a posterior side. The anterior and posterior sides are opposite each other circumferentially around the internal lumen. The prosthesis also includes a first limb that extends from the distal end of the tubular main body along the anterior side of the main body. The first limb has a diameter less than the diameter of the tubular main body and having a proximal end and a distal end. The prosthesis also includes a fenestration adjacent to the proximal end of the first limb. The fenestration extends from the proximal end of the first limb to the posterior side of the tubular main body. The prosthesis also includes a second limb that extends within the internal lumen from the fenestration toward the proximal end of the tubular main body. The fenestration has a substantially diamond shape and a nonlinear profile, and the second limb extends into the lumen along the posterior side of the tubular main body.

Bifurcated prosthesis with an internal limb

An intraluminal scoring system for expanding an opening within an intraluminal passage includes a balloon catheter which is positioned alongside plaque lining a wall of the intraluminal passage. A wire is positioned between the balloon and the plaque so that the inflation of the balloon restricts the wire between the balloon and the plaque. After the balloon is inflated, a mechanical vibration is induced in the proximal end of the wire by a lithotripter actuator. The vibration travels through the wire to the distal portion, causing the wire to impact the plaque lining the wall of the passage causing scoring, compression, or fragmentation of the plaque.

Balloon catheter with lithotripsy amplification system

Medical devices and methods of using medical devices are described herein. More particularly, the disclosure relates to introducers suitable for providing access to a body vessel and methods of using introducers. An example introducer comprises a sheath and a dilator moveably disposed within the sheath. The distal end of the dilator has a closed configuration and an open configuration and movement between the open and closed configurations can be accomplished by applying a proximally-directed force on the sheath such that the sheath moves in a proximal direction relative to the dilator.

Introducer with dynamic dilator and methods of using the same

A prosthesis may include a tubular frame comprising rings which are concentric along an axis of the tubular frame. The rings may have a serpentine shape with apexes in a longitudinal direction such that the rings are configured to move between a compressed configuration and an expanded configuration. A first ring of the rings can include a first apex that includes a first anchoring member extending radially outward and a first crossbar extending radially inward. The first ring can further include a second apex that neighbors the first apex. The first crossbar can extend toward the second apex and extend radially inward further than the second apex. When in the compressed configuration, the first crossbar can engage the second apex such that the first anchoring member is moved radially inward.

Prosthesis including retractable anchoring members

A tipless balloon catheter includes an elongate tubular body defining an inflation lumen and having proximal and distal ends. A balloon has a proximal neck mounted on the distal end of the elongate tubular body and a distal neck including a distal tip having a distal opening therethrough. The distal opening is in fluid communication with the inflation lumen and an interior of the balloon. A stiffening member extends between the distal end of the elongate tubular body and the distal neck of the balloon. The tipless balloon catheter has a wire guide path defined by the elongate tubular body, the interior of the balloon, and the distal opening.

Tipless balloon catheter with stiffening member through balloon

The invention relates to a low profile lumen free balloon catheter and a system for advancing the lumen free balloon from a build wire to a wire guide. The low profile balloon lacks an internal wire guide cannula between the catheter shaft and the soft tip. A releasable engagement is provided to connect/disconnect the build wire to/from the wire guide. A soft tip seals around the wire guide following advancement of the balloon catheter over the wire guide.

System for a wire-lumen free balloon catheter

A medical catheter device is disclosed that comprises a tubular shaft member, a soft tip member, and a wire guide lumen extending longitudinally within the tubular shaft member and the soft tip member. The wire guide lumen is offset relative to the centerline within the soft tip member. By offsetting the inner diameter of the soft tip member in such a way as to not change the outward profile of the catheter, the soft tip will have improved tracking across existing stents and eccentric lesions.

Offset soft tip with proposed tooling

Catheter balloons () for delivering a bioactive () to a body vessel in a greater amount and/or more quickly are provided, as well as related methods of treatment. The catheter balloon may include a dual balloon assembly at the distal portion () of the catheter having an inner balloon (), an outer balloon () with apertures () concentrically arrayed around the inner balloon, and a catheter shaft () adapted to deliver a carrier () through the apertures of the outer balloon. The bioactive is disposed on a portion of at least one of the inner and outer balloon surfaces. Radial outward expansion of the inner balloon urges the outer balloon into contact with the wall of the body vessel. The carrier is introducible within the catheter shaft to pass through the annular lumen () between the balloons and through the apertures of the outer balloon. The carrier interacts with the bioactive in order to release a therapeutically effective amount of drug to the wall of the body vessel.

Coated balloon catheter

A circumferentially and longitudinally continuous scoring structure having a diameter in an initial unrestrained state that is smaller than a deflated diameter of the balloon is disposed around an outer surface of the balloon in an expanded configuration. The scoring structure continually exerts a radially inward compressive force against the balloon such that when the balloon is expanded from a deflated configuration to an inflated configuration, the scoring structure expands in a radially outward direction and remains in continuous compressive contact with at least a portion of the balloon as the balloon unfolds. The scoring structure may be entirely free of attachment to the balloon and catheter, and may extend substantially a length of a working region of the balloon. The scoring structure may include a plurality of circumferentially compressible members connecting longitudinal members.

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Bloomington, IN, United States of America

Elizabeth A Eaton