Route 92 Medical, Inc.

Vera Shinsky

Tony M Chou

Scott D Wilson

Philip Evard

Kirsten Valley

John Miller

Casey Grey

Methods, systems, and devices for facilitation of intraluminal medical procedures within the neurovasculature including catheters and catheter advancement elements.

Aspiration catheter systems and methods of use

Described are methods, systems, devices for facilitation of intraluminal medical procedures within the neurovasculature. A catheter advancement device includes a flexible elongate body having a proximal portion coupled to a proximal end region of the flexible elongate body and extending proximally to a proximal-most end of the catheter advancement element. A hardness of the flexible elongate body transitions proximally towards increasingly harder materials up to the proximal portion forming a first plurality of material transitions. At least a portion of the flexible elongate body is formed of a plurality of layers including a reinforcement layer. An outer diameter of the flexible elongate body is sized to be positioned coaxially within a lumen of a catheter such that a distal tip portion of the flexible elongate body extends distally beyond a distal end of the catheter to aid in delivery of the catheter to an intracranial vessel.

A rapid exchange microcatheter for accessing the intracranial neurovasculature. A side opening through the sidewall is located a first distance proximal to the distal-most tip. A proximal opening located proximal to the side opening is a second distance from the distal-most tip. A distal, reinforced catheter portion extends between a distal end region to a point near the side opening. A proximal, reinforced catheter portion extends a distance from a point near the side opening towards the proximal end of the catheter body. The side opening is positioned within a gap between a proximal end of the distal reinforced catheter portion and a distal end of the proximal reinforced catheter portion. A payload of a cerebral treatment device is housed within the lumen proximal to the side opening. Related devices, systems, and methods are disclosed.

Single operator intracranial medical device delivery systems and methods of use

Methods, systems, and devices for facilitation of intraluminal medical procedures within the neurovasculature, the methods, systems and the devices including catheters and catheter advancement elements.

A method of performing a medical procedure in a cerebral vessel including advancing a guide sheath into an internal carotid artery; advancing a catheter within a lumen of the guide sheath until a distal end of the catheter is adjacent to an embolus in a cerebral vessel; activating a vacuum source to create a vacuum in a lumen of the catheter; and cyclically controlling the vacuum applied with a valve. The vacuum is cyclically controlled by opening the valve for a first time period, closing the valve for a second time period longer than the first time period, opening the valve for a third time period shorter than the first time period, then closing the valve for a fourth time period greater than the first time period, and repeating for at least 40 cycles.

Methods, systems, and devices for facilitation of intraluminal medical procedures within the neurovasculature including a catheter advancement element an inner diameter that is at least about 0.014&#x2033; up to about 0.024&#x2033; and an outer diameter having at least one snug point. A difference between the inner diameter of the distal, catheter portion and the outer diameter of the tubular portion at the snug point is no more than about 0.010&#x2033;. A tip portion located distal to the at least one snug point of the tubular portion has a length and tapers along at least a portion of the length of the tip portion, wherein the tip portion has a distal point located a distance of at least 5 mm proximal from the distal-most end of the catheter advancement element, the distal point having a bending force that is no greater than about 0.05 Newtons.

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San Mateo, CA, United States of America

Vera Shinsky