Abstract: Medical device delivery systems and methods for making and using medical device delivery systems are disclosed. An example delivery system for an implantable medical device includes an implantable heart valve including an inner shaft having a proximal end region, a distal end region and a first engagement member disposed along a portion of the distal end region and a tip assembly configured to attach to the inner shaft. The tip assembly includes a nosecone having a distal end region and a proximal end region, a second engagement member disposed within at least a portion of the nosecone, the second engagement member including a first locking member, the first locking member configured to deflect from a first position to a second engaged position. Further, attaching the tip assembly to the inner shaft includes deflecting the first locking member such that the locking member is coupled to the first engagement member.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example system includes an inner shaft having proximal and distal end regions and a first coupling member disposed along the distal end region, wherein the first coupling member includes a first projection and a first recess. The system also includes a support shaft having proximal and distal end regions and a second coupling member disposed along the proximal end region, wherein the second coupling member includes a second projection and a second recess. The system also includes a locking collar coupled to the inner shaft. Additionally, coupling the inner shaft to the support shaft includes placing at least a portion of the first projection into the second recess, placing at least a portion of the second projection into the first recess and positioning the locking collar along a portion of both the first and second coupling members.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example system for delivering an implantable medical device includes an outer shaft having a proximal end, a distal portion and a lumen extending therein. The system includes an inner catheter, wherein the inner catheter extends within at least a portion of the lumen of the outer shaft. The system also includes an actuation shaft extending within a portion of the lumen of the inner shaft, wherein a distal end of the actuation shaft is coupled to a coupling member. The system also includes a plurality of translation members coupled to the implantable medical device and the coupling member. The system also includes a grouping coil wound around at least a portion of each of the plurality of translation members.

Abstract: A transducer includes a planar coil coupled to a magnetic flux guide. The magnetic flux guide includes an array of nanowires. The transducer could include a plurality of magnetic flux guides and a plurality of planar coils stacked together. The flux guides and planar coils could alternative in the stacked configuration.

Abstract: Medical devices and method for making and using medical devices are disclosed. An example method for treating a blood vessel may include disposing a medical device within the blood vessel at a position adjacent to a lesion. The medical device may include an elongate shaft having a distal end region, a balloon coupled to the distal end region, and a cavitation member disposed within the balloon. The method may also include inflating the balloon to a first pressure, activating the cavitation member, and inflating the balloon to a second pressure greater than the first pressure.

Abstract: Implantation of a cardiac stimulus system using the ITV. Access to the ITV may be performed using the intercostal vein as an access point, and entering the ITV through an ostium therebetween. The intercostal vein may be located on a costal groove on an inferior portion of a rib. Advancement from the intercostal vein to the ITV may then be performed in a superior direction, an inferior direction, or both.

Abstract: A system and method for compensating for electromagnetic (EM) distortion fields caused by one or more distortion objects is provided. A system and method for compensating for electromagnetic (EM) distortion fields caused by one or more distortion objects is provided. For example, an EM compensation device receives a plurality of EM field calibration measurements. The EM compensation device trains a machine learning dataset to compensate for the EM distortion fields from the one or more distortion objects using the plurality of EM field calibration measurements and/or an EM field model. The EM compensation device receives one or more EM field procedure measurements from a medical device performing a medical procedure. The EM compensation device predicts a spatial location of the medical device based on the EM field procedure measurement and the machine learning dataset.

Abstract: A sensor assembly includes a substrate including a first portion, a second portion, and a rolled section positioned between the first portion and the second portion. The sensor assembly further includes a first magnetic field sensor coupled to the first portion. The first magnetic field sensor has a primary sensing direction aligned with a longitudinal axis of the sensor assembly. The sensor assembly further includes a second magnetic field sensor coupled to the second portion. The rolled section is shaped such that the second magnetic field sensor is oriented with respect to the first magnetic field sensor so that the second magnetic field sensor has a primary sensing direction aligned with an axis orthogonal to the longitudinal axis.

Abstract: A sensor assembly includes a first magnetic field sensor that is a first type of sensor and has a first magnetic field sensitivity in a first primary sensing direction. The first primary sensing direction is along a longitudinal axis of the sensor assembly. The sensor assembly further includes a second magnetic field sensor that is a second type of sensor different than the first type of sensor and has a second magnetic field sensitivity in a second primary sensing direction that is less than the first magnetic field sensitivity. The second primary sensing direction is along a second axis that is different than the longitudinal axis.

Abstract: Embodiments of a deployment system may include a catheter having a distal end and a proximal end. An actuator may be disposed at the distal end of the catheter and may be operatively connected to electrical connectors extending longitudinally along the catheter from the proximal end to the actuator. The electrical connectors may be configured for transmission of signals to the actuator. One or more connections may be coupled to the actuator and to a deployable medical device disposed at the distal end of the catheter.

Abstract: An example method for treating a blood vessel may include disposing a medical device within the blood vessel at a position adjacent to a lesion. The medical device may include an elongate shaft having a distal end region, a balloon coupled to the distal end region, and an iron-containing fluid disposed within the balloon. The method may also include inflating the balloon to a first pressure, delivering a plurality of electromagnetic pulses to the iron-containing fluid, and inflating the balloon to a second pressure greater than the first pressure.

Abstract: A system for delivering an implantable medical device includes an outer sheath drive assembly and an actuation shaft drive assembly. The outer sheath drive assembly is configured to cause an outer sheath to translate relative to a handle, and includes an outer sheath drive motor. The actuation shaft drive assembly is configured to cause an actuation shaft to translate relative to the handle, and includes an actuation shaft drive motor. The outer sheath drive motor and/or the actuation shaft drive motor may be removed from the system, and the outer sheath drive assembly and/or the actuation shaft drive assembly may instead be manually driven.

Abstract: A system includes a magnetic field transmitter assembly. The magnetic field transmitter assembly has a housing with a first layer comprising an electrically-conductive material, a second layer comprising an electrically-insulating material, and a third layer comprising an electrically-conductive material. The second layer is positioned between the first layer and the third layer. The magnetic field transmitter assembly also includes a plurality of magnetic field generator assemblies positioned within the housing.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example system for delivering an implantable medical device includes an outer shaft and an inner catheter, each having a proximal end, a distal portion and a lumen extending therein, wherein the inner catheter extends within a portion of the outer shaft lumen. The system also includes an actuation shaft extending within a portion of the inner catheter lumen, wherein a distal end of the actuation shaft is coupled to the implantable medical device. The system also includes a guidewire shaft extending within a portion of the inner catheter lumen and a coupling component including a distal end region, a proximal end region and a length, wherein the actuation shaft and the guidewire shaft are coupled to the coupling component such that actuation of the coupling component translates the actuation shaft and the tubular guidewire shaft simultaneously.

Abstract: A system for delivering an implantable medical device includes a handle housing. An outer sheath is coupler secured to a proximal end of an outer sheath that is configured to cover at least a portion of the implantable medical device. An outer sheath drive assembly is operably coupled to the outer sheath coupler and is configured to translate the outer sheath relative to the handle housing. An actuation shaft coupler is secured to a proximal end of an activation shaft. An actuation shaft drive assembly is operably coupled to the actuation shaft coupler and is configured to cause the actuation shaft to translate relative to the handle housing and shift the implantable medical device from a first position and a second position in which the implantable medical device is radially expanded relative to the first position.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example system for delivering an implantable medical device includes a handle member including a seal assembly, wherein the seal assembly includes an outer sheath seal assembly coupled to an outer sheath, the outer sheath including a curved portion, the outer sheath seal assembly being translatable relative to the handle. The seal assembly also includes a first fixed seal assembly fixed relative to the handle, the first fixed seal assembly including a first alignment surface and a compression shaft coupled to the first fixed seal assembly. Additionally, first alignment surface is designed to align the compression shaft with at least a portion of the outer sheath.

Abstract: A medical device system may include a valve replacement implant including an anchor member reversibly actuatable between a delivery configuration and a deployed configuration, wherein the implant includes at least one locking element configured to lock the anchor member in the deployed configuration, and at least one actuator element configured to engage the at least one locking element and actuate the anchor member between the delivery configuration and the deployed configuration. The at least one actuator element may include a self-biased cam mechanism configured to extend into and engage a first locking portion of the at least one locking element.

Abstract: A tissue modification apparatus includes at least a first plurality of grippers aligned in a plane adapted to secure a first edge of a patch of tissue. The plurality of grippers are each secured to a first force actuator. The first plurality of grippers are each adapted to pivot relative to the first force actuator about an axis perpendicular to the plane. In some cases, a plurality of grippers are attached to a force actuator by a passive force transfer mechanism. In some cases, individual force actuators are attached by pivoted connections to individual grippers. Methods of treating tissue can secure tensioned tissue to a frame to retain the tension during a treatment (e.g., cross-linking the tissue with a chemical cross-linker).

Abstract: A delivery system for an implantable medical device includes an outer shaft defining an outer shaft lumen and an inner shaft translatable within the outer shaft lumen, the inner shaft defining a lumen extending through the inner shaft. An actuation mechanism extends through the lumen and includes a coupler, a force translation rod that extends proximally from the coupler and a plurality of push pull rods that extend distally from the coupler and that releasably couple to the implantable medical device. The force translation rod includes a transition in electromagnetic permeability. The delivery system includes an inductive coil disposed relative to the force translation rod and positioned to detect a change in inductance resulting from the transition in electromagnetic permeability passing through the inductive coil.

Abstract: A drive assembly for use with a delivery catheter for delivering an implantable medical device includes a drive motor configured to be operably coupled to an inner shaft of the delivery catheter such that operation of the drive motor causes the inner shaft to translate relative to the outer shaft and a controller. The controller is configured to receive a position signal from a position sensor indicating a position of the implantable medical device relative to the outer shaft as well as a motor signal indicating a rotational position of an output shaft of the drive motor. The controller is configured to output a control signal instructing operation of the drive motor based upon the indicated rotational position of the output shaft of the drive motor and the indicated position of the implantable medical device relative to the outer shaft.