Abstract: This invention relates to medical guidewire having multiple electrically conductive pathways extending from substantially their distal ends to substantially their proximal ends.

Abstract: Methods and systems for treating an airway disorder and delivering an implant to airway tissue are provided. A method includes partially inserting at least a first and second wire into airway forming tissue, wherein the first and second wires' axes define implant positions for a first and second implant, respectively. A wire guide can be used to maintain an orientation of the first and second axis relative to each other.

Abstract: Medical devices for navigation through anatomy, including guidewires, which may have a core wire, a slotted tubular member, or both. Embodiments may have coils, including non-circular cross-section edge-wound marker coils, extended coil tips, and soldered or glued mesial joint coils. Core wires may have a step, ridge, or taper at the joints to the tubular member, and may be flattened at the distal tip. Radiopaque material may be located inside the tubular member, and the distal tip may be heat treated to make it shapeable. Additional tubular members or coils may be used concentrically or in line and may enhance flexibility, provide radiopacity, reduce friction, or reduce material or manufacturing cost. Tubular members may be chamfered or tapered continuously or incrementally. Slots may be arranged in groups, such as groups of three, and may be equal in depth or unequal in depth to provide a steerable or compressible tip.

Abstract: An intubation device is provided. An intubation device comprises a movable guide configured to guide an insertion of an endotracheal tube into a trachea of a patient, the guide having a guide extension and a guide tip; an external trachea identifier source external to the trachea and disposed on the patient during an intubation, wherein the trachea identifier source generates and transmits a signal; at least one trachea condition sensor disposed on the guide tip to detect the signal generated by the trachea identifier source; and a guide control device operatively coupled to the guide, the guide control device configured to move the guide into the trachea in response to the detected signal.

Abstract: Improved wiring arrangements for sensor catheters are provided to reduce wire-to-wire cross-talk wherein wires connecting the sensor of the sensor catheter to a processing unit are divided into a plurality of wire bundles contained within respective sheaths, with the wires in wire bundle twisted together reduce electromagnetic signal interference among the individual wires, or between wire bundles.

Abstract: A flexible guidewire comprising a hollow tube, having a proximal section and a distal section, the distal section having a distal tip, the outer diameter of the distal section gradually decreasing toward the distal tip, the outer diameter of the distal tip being larger than the smallest outer diameter of the distal section, the flexible guidewire further comprising a plug coupled with the distal tip of the hollow tube for creating a non-traumatic tip, and the flexible guidewire further comprising a tubular spring, being place around the distal section of the hollow tube for maintaining the outer diameter of the hollow tube over the length thereof and for supporting compressive loads.

Abstract: Medical devices for navigation through anatomy, including guidewires, which may have a core wire, a slotted tubular member, or both. Embodiments may have coils, including non-circular cross-section edge-wound marker coils, extended coil tips, and soldered or glued mesial joint coils. Core wires may have a step, ridge, or taper at the joints to the tubular member, and may be flattened at the distal tip. Radiopaque material may be located inside the tubular member, and the distal tip may be heat treated to make it shapeable. Additional tubular members or coils may be used concentrically or in line and may enhance flexibility, provide radiopacity, reduce friction, or reduce material or manufacturing cost. Tubular members may be chamfered or tapered continuously or incrementally. Slots may be arranged in groups, such as groups of three, and may be equal in depth or unequal in depth to provide a steerable or compressible tip.

Abstract: A guide wire is described for navigating body channels such as vessels. The guide wire can include an elongated member having a proximal portion and a distal portion, and a fluid passage to transport a fluid from the proximal portion to the distal portion. The distal portion of the elongated member can include a shape memory material with two way memory effect. The shape memory material can have a transition temperature less than a body temperature such that the distal portion has a first shape at the body temperature and a second shape different from the first shape at a temperature less than the transition temperature.

Abstract: Medical devices for navigation through anatomy, including guidewires, which may have a core wire, a slotted tubular member, or both. Embodiments may have coils, including non-circular cross-section edge-wound marker coils, extended coil tips, and soldered or glued mesial joint coils. Core wires may have a step, ridge, or taper at the joints to the tubular member, and may be flattened at the distal tip. Radiopaque material may be located inside the tubular member, and the distal tip may be heat treated to make it shapeable. Additional tubular members or coils may be used concentrically or in line and may enhance flexibility, provide radiopacity, reduce friction, or reduce material or manufacturing cost. Tubular members may be chamfered or tapered continuously or incrementally. Slots may be arranged in groups, such as groups of three, and may be equal in depth or unequal in depth to provide a steerable or compressible tip.

Abstract: The present invention is a guide wire imaging device for vascular or non-vascular imaging utilizing optic acoustical methods, which device has a profile of less than 1 mm in diameter. The ultrasound imaging device of the invention comprises a single mode optical fiber with at least one Bragg grating, and a piezoelectric or piezo-ceramic jacket, which device may achieve omnidirectional (360°) imaging. The imaging guide wire of the invention can function as a guide wire for vascular interventions, can enable real time imaging during balloon inflation, and stent deployment, thus will provide clinical information that is not available when catheter-based imaging systems are used. The device of the invention may enable shortened total procedure times, including the fluoroscopy time, will also reduce radiation exposure to the patient and to the operator.

Abstract: An apparatus includes a narrow elongate probe is adapted for insertion into the body of a living subject. The probe may be flexible and has a plurality of sensors consisting of single coils of very fine wire wound about a backbone of the probe, which transmit signals proximally via fine connecting wires to a position processor. The position processor analyzes the signals to determine position coordinates at multiple points along the length of the probe.

Abstract: A method of loading a composition into a structural element of a stent, where the structural element is defined by a lumen and at least one opening to access the lumen. The composition may include a therapeutic agent. In some embodiments, the composition has characteristics such that at a temperature of 20° C. to 30° C. and a pressure of one atmosphere, the viscosity of the composition is about 10 cP or greater than 10 cP.

Abstract: A method and apparatus for manipulating a surgical guidewire. The apparatus comprises a chuck for selectively coupling motive force to a surgical guidewire and an actuator, coupled to the chuck, for imparting an axial motive force to the chuck. Embodiments of the invention further comprise a method of using the apparatus.

Abstract: Devices for the local delivery of microdose amounts of one or more active agents, alone or in combination, in one or more dosages, to selected tissue of a patient are described. The devices generally include multiple microwells arranged on or within a support structure and contain one or more active agents, alone or in combination, in one or more dosages and/or release pharmacokinetics. In an exemplary embodiment, the device has a cylindrical shape, having symmetrical wells on the outside of the device, each well containing one or more drugs, at one or more concentrations, sized to permit placement using a catheter, cannula, or stylet. Optionally, the device has a guidewire, and fiber optics, sensors and/or interactive features such as remote accessibility to provide for in situ retrieval of information and modification of device release properties. In a preferred embodiment, the fiber optics and/or sensors are individually accessible to discrete wells.

Abstract: A medical instrument such as a guidewire that is designed to have controlled torque transmission along its length. Specially treated areas are placed in selected and equal areas along the entire length of the elongated shaft of the medical instrument, and are separated from one another by untreated areas. This process ensures that any torque is transmitted distally, in a smooth manner, regardless of the guidewire position, thus resulting in a substantial reduction in whipping. In one embodiment, a stainless steel guidewire is utilized, and is subjected to annealing heat treatment in selected areas. This annealing process creates a mandrel that has repeated temper properties along its length. Torque applied at one end of this mandrel is transmitted to the opposite end in an even and controlled manner, even when the mandrel is formed into a loop.

Abstract: A male coupler for a guidewire, the guidewire having a hollow walled tube, the male coupler comprising a connector section, coupled with the guidewire, a portion of the connector section having a diameter smaller than the diameter of the hollow tube, at least one conducting ring coupled with the connector section where the diameter of the connector section is smaller the diameter of the guidewire, wherein the diameter of connecter section and the at least one conducting ring substantially equals the diameter of the guidewire.

Abstract: Medical devices for navigation through anatomy, including guidewires, which may have a core wire, a slotted tubular member, or both. Embodiments may have coils, including non-circular cross-section edge-wound marker coils, extended coil tips, and soldered or glued mesial joint coils. Core wires may have a step, ridge, or taper at the joints to the tubular member, and may be flattened at the distal tip. Radiopaque material may be located inside the tubular member, and the distal tip may be heat treated to make it shapeable. Additional tubular members or coils may be used concentrically or in line and may enhance flexibility, provide radiopacity, reduce friction, or reduce material or manufacturing cost. Tubular members may be chamfered or tapered continuously or incrementally. Slots may be arranged in groups, such as groups of tree, and may be equal in depth or unequal in depth to provide a steerable or compressible tip.

Abstract: A wire used in the medical field for guiding purposes, as well as in other fields, such as in the field of orthodontics for teeth aligning purposes. The wire, when prepared for use in such applications, exhibits an innovative blend of advantageous properties, including enhanced kink resistance over stainless steel wires and enhanced stiffness over Nitinol wires, which enhance its use as a medical guidewire or stylet, and further, as an arch wire in orthodontia applications.

Abstract: Various embodiments concern an introducer sheath assembly comprising a tubular sheath member having a deflectable distal end portion and a sheath member lumen, and a handle assembly including a steering mechanism for deflecting the distal end portion of the sheath member. The distal end portion of the sheath member can deflect in different directions along a plane by selective tension in one of two pull wires. The selective tension can be caused by selective proximal or distal axial translation of a shuttle assembly relative to the tubular sheath member. The selective proximal or distal axial translation can be controlled by selective clockwise or counterclockwise rotation of a control knob.

Abstract: An apparatus for determining a length of a portion of a steering wire disposed within a bendable medical device includes an electrical contact slidably coupled with a steering wire, an electrical source configured to transmit an electrical signal through a portion of the steering wire, and a processor configured to monitor a parameter of the electrical signal at or about the electrical contact and configured to determine a length of a portion of the steering wire using the monitored parameter.

Abstract: An apparatus is disclosed including: an intracardiac pump device having a path for a guidewire extending through the pump device from a first opening to a second opening; and a lumen which extends from a first end located outside of the pump device, into the pump device through the first opening in the pump device, along the path for the guidewire, out of the pump device through the second opening, and to a second end located outside of the pump device. The lumen is configured to receive the guidewire such that when the guidewire passes through the lumen from the first end to the second end, the guidewire is positioned along the path.

Abstract: A guide wire for use in a medical procedure having a shapeable tip integral with and made from the distal end of a superelastic nitinol distal section of the guide wire, wherein the shapeable tip can be finger kinked. Such a guide wire includes an elongated core made from a superelastic nitinol alloy at the distal end, the distal end of the elongated core having a tapered section leading to a shapeable distal tip. The shapeable tip is an extension of the distal end of the nitinol distal section, and includes permanent strain hardening from at least two different radial directions imparting crystallographic texture in the radial directions that eliminate superelasticity so that permanent deformation can be achieved with finger pressure.

Abstract: Medical devices for navigation through anatomy, including guidewires, which may have a core wire, a slotted tubular member, or both. Embodiments may have coils, including non-circular cross-section edge-wound marker coils, extended coil tips, and soldered or glued mesial joint coils. Core wires may have a step, ridge, or taper at the joints to the tubular member, and may be flattened at the distal tip. Radiopaque material may be located inside the tubular member, and the distal tip may be heat treated to make it shapeable. Additional tubular members or coils may be used concentrically or in line and may enhance flexibility, provide radiopacity, reduce friction, or reduce material or manufacturing cost. Tubular members may be chamfered or tapered continuously or incrementally. Slots may be arranged in groups, such as groups of three, and may be equal in depth or unequal in depth to provide a steerable or compressible tip.

Abstract: A guidewire for antegrade guidance of vascular interventions of a lower limb artery via a common femoral artery into a superficial femoral artery of a human patient. When in unloaded condition, the guidewire has, at its distal end, a rounded or floppy tip (4). A curved deflection section (5) is located closely proximal of the tip (4) and extends over an angle of curvature such that the rounded tip (4) is spaced from a continuation of an axis of a section proximally neighboring the curved deflection section (5). The curved deflection section (5) has a flexibility causing the curved deflection section (5) to spring back to substantially its original shape after elastic deformation to a straightened condition. A rotation preventer, a kit and a method for facilitating insertion of a guidewire into the superficial femoral artery are also described.

Abstract: Provided is a medical appliance excellent in slidability and durability. A medical appliance comprising a base material, a polyimide film (A) and a polymer film (B) having a higher nitrogen content and/or a higher oxygen content than respective contents of the polyimide film (A). The appliance has the polymer film (B) on a part or the whole of the surface of the base material, and has the polyimide film (A) on the polymer film (B).

Abstract: In a medical guide wire 1, a flexible core wire 2 is made of austenitic stainless steel wire treated with a solid solution procedure, and drawn with a whole cross sectional reduction ratio as 80%-97.6%. The core wire 2 and a helical spring body 3 are welded by a welding member 4. The welding member 4 is made of eutectic alloy having a melting temperature ranging from 180° C.-495° C. Upon welding the helical spring body 3 to the core wire 2 which is made of the stainless steel metal, the procedure prevents the medical guide wire 1 from sacrificing its mechanical strength by significantly reducing the thermal influence on the core wire 2 and the helical spring body 3.

Abstract: Provided is a guide wire, wherein a deformed portion formed by bending and/or curving the guide wire is located in the region of 20-100 mm from the tip in the longitudinal direction of the guide wire, and in the deformed portion, the shortest distance between the central axis in the longitudinal direction of the guide wire and a point that is the farthest in the direction perpendicular to the central axis is longer than or equal to the minimum inside diameter of a lumen of a catheter shaft of an ablation catheter with a balloon used in combination with the guide wire, and shorter than or equal to 40 mm.

Abstract: A guidewire assembly having selectively adjustable stiffness and tip curvature includes a hollow guidewire having a distal portion terminating at a distal tip, a curvature-modifying element anchored to the distal tip, and a stiffness-modifying element displaceable within the hollow guidewire towards and away from the distal tip so as to vary a stiffness of the distal portion. The stiffness-modifying element and the curvature-modifying element are frictionally linked such that movement of the stiffness-modifying element from a current position over a first range of motion causes corresponding displacement of the curvature-modifying element, thereby modifying a state of curvature of at least part of the distal portion of the guidewire. Movement of the stiffness-modifying element beyond the first range of motion displaces the stiffness-modifying element relative to the curvature-modifying element.

Abstract: A method for creating a tract in retrograde fashion for nephrostomy tube creation comprising the steps of providing a puncture wire having a tissue penetrating tip shielded in a sheath, inserting the puncture wire and sheath through a channel in an ureteroscope, advancing the puncture wire from the sheath while visualizing under direct vision a position of the puncture wire, advancing the puncture wire through a selected calyx, and inserting antegrade a coaxial catheter over the puncture wire.

Abstract: A procedure and kit are provided for performing an ultrasound-guided transversus abdominis plane (TAP) procedure. The patient's abdomen is scanned with an ultrasound probe to identify and mark the external oblique, internal oblique, and TAP. An introducer sheath is placed over a fluid delivery needle such that the distal end of the needle extends beyond the distal end of the sheath, the needle having echogenic properties for ultrasound imaging. The needle and sheath are ultrasonically guided into the TAP. A local anesthetic or saline/anesthetic combination is injected through the needle to create a liquid pool in the TAP. The needle is removed from the sheath while maintaining the sheath within the TAP and a catheter is subsequently advanced through the sheath and into the pooled liquid in the TAP. The sheath is withdrawn while maintaining the catheter located within the TAP.

Abstract: An intubation device is provided. An intubation device comprises a movable guide configured to guide an insertion of an endotracheal tube into a trachea of a patient, the guide having a guide extension and a guide tip; an external trachea identifier source external to the trachea and disposed on the patient during an intubation, wherein the trachea identifier source generates and transmits a signal; at least one trachea condition sensor disposed on the guide tip to detect the signal generated by the trachea identifier source; and a guide control device operatively coupled to the guide, the guide control device configured to move the guide into the trachea in response to the detected signal.

Abstract: A method for correcting ultrasound data includes acquiring ultrasound data using an ultrasound probe having a plurality of transducer elements associated with a plurality of channels that include conductive pathways and communicating the ultrasound data as received ultrasound signals along the conductive pathways of the channels. The method further includes determining a crosstalk signal that is generated in one or more of the channels by at least one of communication of the received ultrasound signals along the channels or vibration of one or more of the transducer elements. In one aspect, the method also includes modifying one or more subsequently acquired ultrasound signals that are communicated along the channels based on the crosstalk signal.

Abstract: Single filter and multi-filter endolumenal methods and systems for filtering fluids within the body. In some embodiments a blood filtering system captures and removes particulates dislodged or generated during a surgical procedure and circulating in a patient's vasculature. In some embodiments a filter system protects the cerebral vasculature during a cardiac valve repair or replacement procedure.

Abstract: A coil-type guidewire includes a core shaft, a coil body, and a plurality of bonding portions that bond the core shaft and the coil body to each other. At least one loosely wound coil portion is provided in at least one of regions bounded by the bonding portions, and densely wound coil portions are disposed near the bonding portions.

Abstract: Medical devices for navigation through anatomy, including guidewires, which may have a core wire, a slotted tubular member, or both. Embodiments may have coils, including non-circular cross-section edge-wound marker coils, extended coil tips, and soldered or glued mesial joint coils. Core wires may have a step, ridge, or taper at the joints to the tubular member, and may be flattened at the distal tip. Radiopaque material may be located inside the tubular member, and the distal tip may be heat treated to make it shapeable. Additional tubular members or coils may be used concentrically or in line and may enhance flexibility, provide radiopacity, reduce friction, or reduce material or manufacturing cost. Tubular members may be chamfered or tapered continuously or incrementally. Slots may be arranged in groups, such as groups of three, and may be equal in depth or unequal in depth to provide a steerable or compressible tip.

Abstract: A wire guide includes a helically wound coil having a proximal end and a distal end. A mandrel is positioned within the helically wound coil and terminates before the distal end of the helically wound coil. First and second safety wires are positioned within the helically wound coil and have proximal ends attached to the mandrel and distal ends attached to the distal end of the helically wound coil. The first and second safety wires are positioned on opposite sides of a distal tip of the mandrel and have contact surfaces facing the distal tip of the mandrel that have a shape other than convex. The interaction between the mandrel tip and the safety wires during a percutaneous vascular procedure inhibit mandrel protrusion and the potential tissue damage associated therewith.

Abstract: A male coupler for a guidewire, the guidewire having a hollow walled tube, the male coupler comprising a connector section, coupled with the guidewire, a portion of the connector section having a diameter smaller than the diameter of the hollow tube, at least one conducting ring coupled with the connector section where the diameter of the connector section is smaller the diameter of the guidewire, wherein the diameter of connector section and the at least one conducting ring substantially equals the diameter of the guidewire.

Abstract: Provided is a guidewire including a core shaft, an outer flexible tube, a stranded wire that is disposed parallel to a distal end portion of the core shaft, and an inner flexible tube that surrounds a distal end portion of the core shaft and the stranded wire. The inner flexible tube is disposed in the outer flexible tube so that a distal end thereof is positioned between the distal ends of the core shaft and the stranded wire and a proximal end of the core shaft so as to be separated from the distal ends of the core shaft and the stranded wire. A joint is formed so as to join the distal end of the inner flexible tube, the core shaft, and the stranded wire to each other.

Abstract: A male connector for a sensor guide wire for intravascular measurements of physiological variables in a living body, and a method for producing said male connector. The male connector comprises a plurality of spaced apart conductive members, extending at least partially along the length of the male connector, and a plurality of conductive areas separated from each other by insulating areas, disposed along the male connector, wherein each of the conductive members are connected to a respective conductive area.

Abstract: A device for characterizing a luminal dimension, such as the aortic annulus, has also been developed. These include a balloon or basket with sensing and transmitting elements for assessing two or three dimensional shape of lumens using a guide wire and catheter. Sheath introducer devices were developed for percutaneous delivery of bioprosthetic valves during various percutaneous procedures, such as TAVI. A marker needle dispenser for pre-marking anatomical features that are either desirable to target or desirable to avoid has been developed. The needle contains a central passage or lumen for loading marker and spacer material. These are characterized by specific spacing, color, shape or diagnostic imaging criteria to facilitate passage through and placement within the vasculature. Hemostatic stents or balloons are used to prevent bleeding and facilitate closure at sites for entry of catheters or introducer sheaths into luminal structures, especially for procedures such as TAVI through the subclavian artery.

Abstract: A medical instrument such as a guidewire that is designed to have controlled torque transmission along its length. Specially treated areas are placed in selected and equal areas along the entire length of the elongated shaft of the medical instrument, and are separated from one another by untreated areas. This process ensures that any torque is transmitted distally, in a smooth manner, regardless of the guidewire position, thus resulting in a substantial reduction in whipping. In one embodiment, a stainless steel guidewire is utilized, and is subjected to annealing heat treatment in selected areas. This annealing process creates a mandrel that has repeated temper properties along its length. Torque applied at one end of this mandrel is transmitted to the opposite end in an even and controlled manner, even when the mandrel is formed into a loop.

Abstract: In a medical guide wire 1, a helical spring body 3 is made of austenitic stainless steel wire treated with a solid-solution procedure, and tightly drawn with a whole cross sectional reduction ratio as 90%-99.5%. A metallic wire element of the helical spring body 3 is heat treated at low temperature within a range in which a tensile rupture strength of the helical spring body 3 rapidly increases by partly or totally making use of a conductive heat generated when a core wire 2 and the helical spring body 3 are in part bonded by means of a welding member 4. This makes it possible to improve a mechanical strength property, especially a fatigue-resistant property against a repetitive bending action of the helical spring body 3.

Abstract: Described herein are rotary transformers for coupling signals between components that rotate relative to one another. In an exemplary embodiment, a rotary transformer comprises a rotary shaft, a first magnetic core on the rotary shaft, and a first winding wound around the first magnetic core. The rotary transformer farther comprises a hollow second magnetic core, and a second winding wound along the inner wall of the second magnetic core. During operation, the first winding on the rotary shaft rotates within the second winding with the magnetic cores magnetically coupling signals between the two windings. Also, the first and second windings are closely spaced to provide capacitive coupling between the windings that extends the frequency response of the transformer. In one embodiment, the windings comprises substantially flat conductors wound in the shape of the windings. In another embodiment, each of the windings comprises circular loops connected by jogs.

Abstract: A medical guidewire having distal tip coil that includes a twisted ribbon wire construction. The distal tip coil is mounted to the distal end of the distal core section of the guidewire. The coil is made from a flat ribbon wire with a polygonal, preferably rectangular, cross-section that is twisted along the length of the wire. The twisted, flat ribbon wire creates a tip coil that has a roughened, undulating surface at the outer circumference that, whether coated or bare, is perceptible to the physician or cardiologist when pushing or torquing the guidewire in an interventional procedure.

Abstract: A device for the medical treatment is provided which includes not only a function for applying turning force to a guide wire but also a function for inserting an end portion of the guide wire into an opening of a catheter and therefore is excellent in workability. In one form, a device for the medical treatment includes a guide wire connecting section capable of being connected to a guide wire to apply turning force to the guide wire, and a catheter connecting section to which a catheter can be connected and which can relatively move toward and away from the guide wire connecting section.

Abstract: A guidewire for a medical device is disclosed. In one embodiment, the guidewire includes a corewire having a proximal end portion and a distal end portion, an elongate shroud disposed about the corewire, the shroud having a distal end, and a plug coupled with the distal end portion of the corewire and the distal end of the shroud, the plug having a distal, non-traumatic tip portion, an interior between the corewire and the shroud being configured to receive a sensor.

Abstract: True lumen reentry devices and methods useable for redirecting a guidewire from a subintimal tract within a wall of a blood vessel into the true lumen of the blood vessel. A reentry catheter device comprises a main catheter shaft having at least one guidewire outlet aperture with at least one side tube located on a distal portion of the main catheter shaft.

Abstract: A sensor guide wire for an intravascular measurement of a physiological variable in a living body may include a sensor element configured to measure the physiological variable based on exposure to fluid in the living body; and a cylindrical-shaped jacket forming an interior space housing the sensor element. The jacket comprises an outer circumferential wall with a circumferential surface extending between distal and proximal longitudinal ends of the jacket. The outer circumferential wall of the jacket does not include any apertures along its circumferential surface so as to prevent fluid from passing through the outer circumferential wall and/or the jacket has a constant cross section along its entire length.

Abstract: Catheter actuators providing a mechanical advantage are disclosed. The actuators include a pull wire arm guide plate and a drive wheel attached around the pull wire arm guide plate and pivotable relative to the guide plate, the drive wheel comprising at least one thumb boss for pivoting the drive wheel about a drive wheel axis of rotation. The drive wheel mechanically engages at least one pull wire arm slidably mounted in a pull wire arm channel in the pull wire arm guide plate. A mechanism transfers drive wheel input into longitudinal motion of the at least one pull wire arm. The mechanism may include, for example, a pin pushing against a bendable pushing member riding in an arcuate pin groove in a top surface of the guide plate, or a pin pushing against a surface of a cam arm pivotably mounted on the top surface of the guide plate.

Abstract: The invention generally relates to sensing guidewires with a centering element and methods of use thereof. In certain aspects, guidewires of the invention include a core member sized to fit within a vessel. A sensor is coupled to the core member. A centering element including a retracted and deployed configuration that is coupled to the core member such that upon deployment of the centering element, the sensor on the core member is located within a center of a lumen.