Abstract: A sensor guide wire for intravascular measurements of at least one physiological or other variable in a living body, comprising a proximal region, a distal sensor region, and a tip region, and at least one sensor element arranged in said sensor region and configured to measure the variable and to generate a sensor signal in response to the variable. The sensor guide wire further comprises a core wire, with a tip core wire portion, wherein at least part of the tip core wire portion comprises a shape memory material, and the composition of the shape memory material is such that the transformation temperature of the shape memory material is above the body temperature of the living body.

Abstract: Intravascular devices, systems, and methods are disclosed. In some embodiments, the intravascular devices include at least one electronic, optical, or electro-optical component positioned within a distal portion of the device and one or more connectors positioned at a distal portion of the device. In some instances, a tubular member forming a main body of the intravascular device includes a variable, spiral cut along a distal section such that the tubular member has a variable stiffness along the length of its distal section. In some particular instances, the tubular member is a hypotube that has an increased flexibility as it extends distally as a result of the variable, spiral cut. In some instances, the pitch and/or width of the spiral cut is varied along the length of the distal section of the hypotube to increase flexibility. Methods of making and/or assembling such intravascular devices/systems are also provided.

Abstract: A torque device for attaching to and selectively gripping or securing and releasing a guidewire to permit rotational and longitudinal manipulation of the guidewire to steer and control the guidewire. In one embodiment the torque device comprises a nose portion, a neck portion, and a base portion with varying outer diameters for improved rotational control.

Abstract: An apparatus for providing at least one treatment to at least one tissue having a first structural arrangement configured to expand a first portion at a distal end of the apparatus, a second structural arrangement configured to expand a second portion at the distal end and at least one lumen associated with at least one of the first structural arrangement and/or the second structural arrangement. The first structural arrangement and/or the second structural arrangement can be configured to position the at least one lumen at a particular position with respect to the tissue. A tip is configured to aid in the insertion of the apparatus into the tissue(s).

Abstract: A guidewire (10) includes a flexible elongated core (20) having a proximal end (22) and a distal end (24). An anchor wire (10) has a distal end (34) connected to the distal end (24) of the core (20) and a distally located helical portion (50) that encircles the core. The guidewire (10) has an anchoring condition in which the helical portion (50) is expanded radially away from the core (20). The guidewire (10) has an advancing condition in which the helical portion (50) is stretched longitudinally and contracted radially in response to tension on the anchor wire (30).

Abstract: A guide wire includes an elongated wire body and a radiopaque part capable of forming an X-ray image and located at the distal end portion of the wire body. The radiopaque part has a radiopaque member and a resin coating layer. The radiopaque member is composed of a metallic material capable of forming an X-ray image and arranged outside the wire body and in the lengthwise direction of the wire body. The resin coating layer covers the radiopaque member and at least part of coating layer contains a radiopaque material capable of forming an X-ray image. The radiopaque part is divided into a first radiopaque region, a second radiopaque region, and a third radiopaque region which are sequentially arranged from the distal end in the lengthwise direction of the wire body.

Abstract: A guide wire includes: a flexible elongate wire body; and a coating layer that covers a distal portion of the wire body and is formed of a resin material. The wire body of the guide wire is provided with a projection that protrudes along the entire circumference of an outer circumferential portion of the wire body. A distal portion of the projection is in contact with a proximal portion of the coating layer, and the maximum outside diameter of the projection is larger than the outside diameter of the coating layer that is in contact with the projection. In addition, a proximal portion of the projection has an outside diameter tapering portion where the outside diameter is gradually reduced toward a proximal end.

Abstract: A hub device and a method for reception of a flexible elongate device therethrough are provided. The hub device includes a proximal portion having a substantially cylindrical opening defined in the proximal portion, a first connector at a proximal end of the proximal portion for connecting to a medical device and a distal portion connectable to an elongate shaft. The hub device further includes a lumen extending from the cylindrical opening in the proximal portion to a non-cylindrical cross-sectional lumen portion in the distal portion of the hub device, the lumen including a distal tapered portion tapering to the non-cylindrical cross sectional lumen portion. The distal tapered portion includes a first pair of longitudinal loop guides positioned on opposite sides of the lumen and configured to receive and collapse a loop of an elongate device received and distally advanced through the lumen.

Abstract: Medical devices and methods for making and using the same. An example medical device may include an elongate core member and a tubular member disposed about a portion of the core member. The tubular member may have a plurality of slots formed therein. The medical devices may be configured to have a preferential bending direction.

Abstract: Methods and devices are provided for transporting fluid between a body and an external source. More particularly, the methods and devices provided can be used to transport blood from a body. In one exemplary embodiment, a system is provided for transporting fluid between a body and an external source. The system can include a collection catheter that is sized to fit inside a catheter that is placed in the body and configured to have its distal end extend beyond a distal end of the catheter that is placed in the body. Various methods for transporting fluid from the body to an external source are also provided.

Abstract: A catheter system and method are described for stenting a vessel at a bifurcation or sidebranch of the vessel. The catheter system includes a first balloon catheter, a second balloon catheter and a releasable linking device for holding the first and second balloon catheters arranged in a side-by-side configuration and aligned with one another along a longitudinal axis. The linking device allows the catheter system to be advanced as a unit and helps prevent premature or inadvertent dislodgement of the stent from the catheters, yet is releasable so that one or both of the balloon catheters can be released from the linking device and maneuvered separately from the rest of the catheter system when desired. The method utilizes the described catheter system for stenting bifurcated vessels using a modified “kissing balloons” technique.

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: 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: Medical devices and methods for making and using the same. A medical device may include an elongate tubular member. The tubular member may include a first circumferential tube segment, a second circumferential tube segment disposed next to the first circumferential tube segment, and a third circumferential tube segment disposed next to the second circumferential tube segment. The first tube segment and the second tube segment may be separated by a first set of slots formed in the tubular member. The second tube segment and the third tube segment may be separated by a second set of slots formed in the tubular member. The second tube segment may be connected to the first tube segment with a proximally-extending beam formed in the tubular member. The second tube segment may also be connected to the third tube segment with a distally-extending beam formed in the tubular member. A ring may be defined in the second tube segment between the proximally-extending beam and the distally-extending beam.

Abstract: Medical devices and methods for making and using the same are disclosed. An example medical device may include a guidewire. The guidewire may include a core wire having a distal portion. A tubular member may be disposed over the distal portion. The tubular member may have a plurality of slots formed therein. A polymeric member may be disposed along an outer surface of the tubular member. The polymeric member may have an uneven outer surface.

Abstract: The present application relates to a molecular exchange device (1) for use with an analysis and control apparatus and a method of manufacturing a molecular exchange device.

Abstract: Medical devices and methods for making and using the same are disclosed. An example medical device may include a guidewire. The guidewire may include a core wire having a distal portion. A tubular member may be disposed over the distal portion. The tubular member may have a plurality of slots formed therein and may have a longitudinal axis. The tubular member may include a variably spaced slot section that has a flexural rigidity that varies from a first flexural rigidity to a second flexural rigidity. The transition from the first flexural rigidity to the second flexural rigidity may be a function of a fourth power equation. The first flexural rigidity may be in the range of about 1×10?6 to about 9×10?5 lbs-inches2. The second flexural rigidity may be in the range of about 1×10?3 to about 5×10?3 lbs-inches2.

Abstract: A stylet capable of being at least partially disposed within a lumen of a device is disclosed. This stylet may include an elongated body comprising a proximal end, a distal end, and at least one magnetic material. In certain embodiments, the elongated body may also include at least one core element, a tubular member circumferentially disposed about at least a portion of the core element, and/or at least one support member circumferentially disposed about at least a portion of the core element. In addition, a matrix material may be disposed between the core element and the tubular member to retain the magnetic material within the elongated body. A catheter assembly including a stylet and a corresponding method of manufacture are also disclosed.

Abstract: An integrated catheter placement system for accurately placing a catheter within a patient's vasculature is disclosed. In one embodiment, the integrated system comprises a system console, a tip location sensor unit for temporary placement on the patient's chest, and an ultrasound probe. The tip location sensor senses a field produced by a stylet disposed in a lumen of the catheter when the catheter is disposed in the vasculature. The ultrasound probe ultrasonically images a portion of the vasculature prior to introduction of the catheter. ECG signal-based catheter tip guidance is included to enable guidance of the catheter tip to a desired position with respect to a node of the patient's heart. The stylet includes an electromagnetic coil that can be operably connected to the sensor unit and/or console through a sterile barrier without compromising the barrier. The stylet can also be wirelessly connected to the sensor unit and/or console.

Abstract: The present invention generally relates to a medical surgical device and specifically a wire guide for percutaneous placement within a body cavity. In one embodiment, the wire guide includes an elongated core member having a proximal stop and a distal stop and a rib positioned between the proximal stop and the distal stop. A first coil is positioned over the elongated core member and extends between the proximal stop and the rib. A second coil is positioned over the elongated core member and extends between the rib and the distal stop.

Abstract: A coronary guidewire (10) includes a flexible elongated core (20) and a coil (40) comprising a plurality of helical coil turns wound around a distal end portion of the core. The coil (40) has a proximal end (50) and an opposite distal end (52). A weld joint (62) connects the distal end (52) of the coil to the core (20) and defines a distal tip (80) of the guidewire. The distal end (52) can have a flexible bend radius as small as 0.2 mm-0.6 mm.

Abstract: A method for creating a tract for nephrostomy tube creation comprising the steps of providing a puncture wire having a tissue penetrating tip shielded in a sheath, the puncture wire slidable within the sheath and releasably lockingly engaged thereto, inserting the puncture wire and sheath in a first direction through a working channel of an ureteroscope to exit the channel of the ureteroscope, releasing the puncture wire from the sheath and advancing the puncture wire a first distance from the sheath while visualizing via the ureteroscope the position of the puncture wire, advancing the puncture wire and the sheath into a selected calyx and through a flank of a patient, removing the puncture wire from the sheath in a second direction different from the first direction and inserting a guidewire through the sheath.

Abstract: An apparatus for deploying a needle within a lumen is provided. The apparatus includes a housing having a threaded bushing radially disposed therein. The bushing rigidly couples with a nose cone having a guide tip disposed at an end opposite the bushing for penetrating an arterial wall of a lumen. During operation, a user incrementally advances the bushing within the housing, thereby incrementally advancing the guide tip into the lumen. The nose cone also includes a flex guide having a slot configuration which couples with the guide tip which deploys into the lumen along with the guide tip.

Abstract: In one embodiment, a sensing guidewire for performing atraumatic intravascular physiologic measurements includes an elongated core wire and a sensor disposed at a distal end portion thereof. A flexure is disposed in the core wire proximal to the sensor housing. The flexure is substantially more flexible than regions of the core wire disposed on either side of the flexure, and enables a distal end portion of the guide wire to conform to and rest against a wall of vascular structure, such as an aneurism, without exerting an undue outward pressure thereon in response to making any contact with the wall.

Abstract: A wire guide and methods for making the same is provided. The method includes joining a proximal core wire comprised of a stiff material to a distal core wire comprised of a highly elastic wire material. The proximal core wire may have a recess at a distal face and the distal core wire is secured within the recess. The recess may be machined into the distal face of the proximal core wire. The distal core wire may be a coaxial wire having a sleeve of material that is easily weldable to the proximal core wire. The sleeve is welded to the proximal core wire and a distal portion of the sleeve is then removed to expose the distal core wire.

Abstract: A guidewire includes a linear portion, a curved portion that is provided distally of the linear portion, a boundary portion that is provided between the linear portion and the curved portion, a lubricant portion that is provided on a surface of the linear portion, and a low lubricant portion that is provided at least on a surface of the boundary portion disposed on a side of the guidewire opposite of a direction toward which the curved portion is curved, a lubricating ability of the low lubricant portion being lower than that of the lubricant portion.

Abstract: A catheter apparatus may have a flexible shaft, guidewire lumens passing through the shaft, and a positioning device for positioning the guidewires relative to an external lumen. The positioning device may be an expansible scaffold covered with a retractable sheath. The positioning device may also be one or more balloons that are inflated through an inflation port in the shaft. The catheter apparatus may be operated by inserting a guide catheter into a vasculature with a chronic total occlusion, inserting the catheter apparatus into the guide catheter, and advancing the guidewires through the guidewire lumens and into contact with a chronic total occlusion. The positioning device may be activated before and/or between attempts to pass the guidewires through the chronic total occlusion to interrogate various parts of the chronic total occlusion.

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: A guide wire (1) for use with a catheter comprises a core wire (3) terminating in a distal portion (18) of flat ribbon-like construction having respective opposite major surfaces (29,30). A spring (24) is brazed to a distal end (27) of the distal portion (18) and to the core wire (3) at a tapering portion (14). A reinforcing member (38) extends axially along the distal portion (18) from a proximal end (26) of the distal portion (18) to a location (40) for reinforcing the distal portion (18) for in turn increasing its torsional rigidity in order to minimise axial twisting of the distal portion (18).

Abstract: The present invention generally relates to guidewires with adjustable tips. In certain aspects, the guidewire includes an elongate member and a core member extending through a lumen of the elongate member. The elongate member includes a distal portion. The distal portion includes a coil segment and at least a portion of the coil segment being compressible from a relaxed state, in which the coil segment aligns with a longitudinal axis of the elongate body, to a compressed state, in which the coil segment moves in a direction away from the longitudinal axis. The distal portion may include one or more sensors. The core member is coupled to the elongate member at a point on the distal portion such that movement of the elongate member translates the elongate member relative to the core member and compresses the coil segment from the relaxed state to the compressed state.

Abstract: A guide wire may include a core member and an outer coil disposed about the core member. The outer coil may be longitudinally movable relative to the core member between retracted and advanced positions. An anchor member may include an elongate wire having proximal and distal ends attached to the distal ends of the outer coil and the core member, respectively. In response to longitudinal movement of the outer coil relative to the core member, the anchor member may be movable between delivery and deployed configurations. A retaining mechanism may include a tubular member removably positionable about the core member and in abutting contact with a proximal end of the outer coil. The retaining mechanism may be engageable with the core member to inhibit longitudinal movement of the outer coil proximally relative to the core member.

Abstract: A coil for transmitting torque comprises a wire having a longitudinal axis and first and second longitudinal edges extending along the longitudinal axis, wherein the first longitudinal edge is formed with a first pattern and the second longitudinal edge is formed with a second pattern complementary to the first pattern, the first and second patterns being configured to interlock with one another when the wire is wound into a helical shape.

Abstract: A shaped guidewire for use in medical applications is disclosed. The guidewire is shaped so as to prevent inadvertent advancement of the guidewire into the corpus of a patient during use. In one embodiment, the guidewire includes an elongate body that defines proximal and distal ends. The guidewire body further defines a shaped portion that is positioned intermediate the proximal and distal ends. The shaped portion of the guidewire is at least partially composed of a shape memory material, such as nitinol, and is deflected from a longitudinal axis defined by an undeflected portion of the guidewire body. The shaped portion is disposed in one embodiment at the proximal end of the guidewire. In another embodiment, a proximal portion of the nitinol guidewire can be treated to impart malleability and enable deflection by a clinician. Methods for forming the shaped or malleable guidewire to include a deflected portion are disclosed.

Abstract: An elongate medical device includes a tubular member extending between a proximal end and a distal end that has a wall defining a lumen extending therethrough. The elongate medical device also includes a loop portion comprising a plurality of wires having proximal portions embedded into the wall and distal portions which are connected together to form a loop that is distal the distal end of the tubular member.

Abstract: A neural probe deployment system comprising a magnetic probe, a magnetic field generator acting on the magnetic probe, a first guiding tube disposed on a first side of the magnetic field generator, wherein the magnetic probe is loaded inside the first guiding tube, and a second guiding tube disposed on a second side of the magnetic field generator, wherein activation of the magnetic field generator propels the magnetic probe from the first guiding tube through the second guiding tube, thereby deploying the magnetic probe.

Abstract: A guidewire includes a core shaft, and a coiled body wound around the outer circumferential surface of the core shaft. A bulged portion is provided at the tip portion of the core shaft. The front end of the coiled body is bonded to the front end of the core shaft with a bonding portion. The bonding portion is provided to enclose the bulged portion provided at the tip portion of the core shaft.

Abstract: The endoscope treatment system includes an endoscope treatment tool that has an operating section including a distal end and a proximal end, and a sheath that is connected to the distal end of the operating section and is formed with a lumen into which the guide wire is capable of being inserted; a guide wire holder that has a tube member, in which the guide wire is accommodated, and that is circumferentially wound; and a fixing member that couples the operating section to the guide wire holder so that the distal end and the proximal end of the operating section are located outside the circumference of the guide wire holder.

Abstract: An intravascular catheter has a telescope section including telescoped inner and outer tubular catheter members, a sheath having a proximal end anchored to an end of one of the inner and outer catheter members, and an elongated flexible drive member coaxially disposed within and being proximally and distally movable through the sheath. The drive member has a distal portion received in the sheath, and a second, unsheathed portion extending beyond the sheath into the interior of the telescope section. the unsheathed portion of the drive member has a stiffness greater than that of the sheath-disposed distal portion of the drive member and of a sufficient magnitude such that the unsheathed portion of the drive member is self-supporting within the telescope section.

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: In a guidewire, a second curved portion has a higher flexibility than a first curved portion and a third curved portion. Thus, a portion around the second curved portion can bend to a large degree. Consequently, a distal tip of the guidewire, in a state of being stuck on a side branch, can be released from the side branch and a distal region can be prevented from being rotated around the second curved portion.

Abstract: The present disclosure provides various embodiments of a sheath for a rotational intravascular probe for insertion into a vasculature. An exemplary sheath includes a flexible portion having a lumen for receiving an ultrasound probe, a distal portion that includes a flexible multi-layer tip, and a transition portion that couples the proximal portion and the distal portion. The multi-layer tip defines a guide wire lumen having a distal guide wire opening and a proximal guide wire opening through a sidewall. In some embodiments, an area between the proximal guide wire entry opening and the flexible proximal portion is supported to prevent kinking and prolapse.

Abstract: An interventional catheter assembly comprising a catheter for insertion and guidance to a target site in a body lumen or a cavity and an operating head mounted in proximity to a distal end of the catheter and comprising a system for removing obstructive material from the target site is provided. In certain embodiments, the catheter assembly includes at least one aspiration port located proximal to the operating head that communicates with a first sealed lumen for withdrawing fluids and obstructive material from the target site. The catheter assembly may also include at least one liquid infusion port that communicates with a second sealed lumen for supplying fluid to a location in proximity to the target site. Kits including the interventional catheter assembly with an aspiration and/or infusion conduit are also provided.

Abstract: Described herein are devices and methods for guide elements configured with variable stiffness, with one or more flexible portions and one or more stiff portions. The flexible portion is be used as a tensioning element of a cinchable implant to tighten or compress tissues while the stiff portion is used to facilitate the insertion or withdrawal of portions of the implant or instruments acting on the implant. The guide element is further configured to be separated or severed between the flexible and stiff portions so that a flexible portion is left within the body as part of the implant, while the stiff portion is withdrawn from the body after implantation is completed.

Abstract: A guidewire includes a core shaft, a coil body that covers the core shaft, and a joining portion formed of metal solder that couples the core shaft and the coil body. The coil body includes a tungsten wire and a noble metal plating layer that covers at least a portion of a surface of the tungsten wire. A surface of the noble metal plating layer has a first uneven shape, including at least one recess and at least one protrusion.

Abstract: A guidewire has a coil with a side of the coil winds having solid physical connections between the coil winds to prevent the connected coil wind side from expanding resulting from the application of force by an actuating member. The application of longitudinal force to the coil causes the unconnected coil wind side to expand while the connected side does not expand, resulting in the guidewire assuming a different configuration.

Abstract: The invention provides a method for replacing a first introducer, whose distal end is inside a vessel and whose proximal end is outside the skin of a patient, with a second introducer. The method comprises the steps of inserting a guide rod into the first introducer, removing the first introducer, passing the second introducer over the guide rod, and removing the guide rod. The guide rod to be used according to the method has preferably a flexible distal portion with a blunt distal end and a stiff proximal portion with a tapered proximal end.

Abstract: A multi-guidewire sheath (MGS) is provided for cases where simultaneous guidewire access to multiple target arteries is required. Embodiments of the MGS have multiple guidewires in a single sheath configured with a single lumen. The MGS incorporates an engagement system to independently secure the one or more guidewires within the sheath to maintain the separate positions of the guidewires. Embodiments of the MGS are configured with a taper from the desired intra-arterial portion (e.g., conventional French sizes) to a larger diameter for the portion of the sheath outside (distal) the vessel. The distal segment of the MGS has a larger diameter to accommodate the engagement system to secure the independent positions of multiple guidewires, and a hemostatic valve seal and slit mounted in a rotating hub. The engagement system has a series of wire-lock engagement points positioned along the circumference of the MGS.

Abstract: An intracorporeal device includes an elongate tubular member. The tubular member can comprise one or more materials that have superelastic and/or shape memory characteristics. The tubular member can comprise one or more deformable zones and one or more elastic zones. The deformable zone(s) can comprise material(s) that are less elastic than the material in the elastic zone(s). The deformable and elastic zones can contain different materials or they can contain the same or similar materials that have been treated in order to change the elasticity or type of elasticity of one of the zones relative to the other zones, creating different elasticity between the elastic and the deformable zones. The intracorporeal device can be, for example, a guidewire, a catheter or any other intracorporeal device that can include an elongate tubular member.

Abstract: A wire guide system is provided for use during a endoscopic surgical procedures. The wire guide system includes a cylindrical shaft having a hollow chamber along a longitudinal axis of the cylindrical shaft, a flange fit disposed around the cylindrical shaft and a seal disposed around the cylindrical shaft and abutting the flange. The system may also include an anchor affixed to the cylindrical shaft and having an aperture from which at least one of a sensor, a light, a camera, tissue and/or organs may be suspended therefrom and at least one cable extending from one end of the cylindrical shaft to another end of the cylindrical shaft through the hollow chamber.

Abstract: An intravascular guide wire having two core materials joined together without the use of a connector tube or sleeve, the core materials being stainless steel and psuedoelastic metal alloy, nitinol. The core materials are joined to each other through an intermediate transition piece made essentially of nickel, which is welded on either side to the two core materials. In a multi-segment intravascular guide wire, discrete, high modulus and medium modulus core portions of different materials are welded to a shapeable, low modulus distal core portion made of a third material having a flattened, shapeable section at a most distal end that is not welded to but made from the distal core portion, so the flattened, shapeable section can be deformed to create a steerable tip. Processes such as simultaneous resistance and friction welding can be used to join the core portions.