Abstract: Medical imaging devices and systems are provided. The medical imaging devices may include a transducer to transmit ultrasound signals (waves) and to receive the reflected ultrasound signals for imaging a vessel of interest. Embodiments may include disposing the transducer at a proximal end of the intravascular device and disposing a motor at a distal end of the intravascular device along with a rotatable acoustic mirror. The transducer may transmit and receive the ultrasound signals to and from the rotatable acoustic mirror via an acoustic lumen extending along the length of the device. Other embodiments may include disposing the transducer, the motor, and the rotatable acoustic mirror at the distal end of the medical imaging device. Further embodiments may include using a concentric layered structure to provide multiple conductors for transmitting signals to and receiving signals from components disposed at the distal end of the intravascular device.